Schoephoerster Jamee, Matas Arthur, Jackson Scott, Pruett Timothy L, Finger Erik, Kandaswamy Raja, Dunn Ty, Kirchner Varvara, Anderson J Kyle, Humphreville Vanessa
Division of Transplantation, Department of Surgery, University of Minnesota, Minneapolis, MN.
Biostatistics and Analytics Consulting Services for Solid Organ Transplantation, M Health Fairview, Minneapolis, MN.
Transplant Direct. 2022 Oct 24;8(11):e1383. doi: 10.1097/TXD.0000000000001383. eCollection 2022 Nov.
Laparoscopic donor nephrectomy (LDN) offers advantages to the donor. The reported incidence of testicular pain after LDN varies in the literature ranging from 3% to 55%.
A survey was sent to 322 male LDN patients who donated from February 5, 2009, to February 5, 2019. The survey assessed if the donor had testicular pain or saw an additional medical professional after donation.
Of the 322 surveyed, 147 (46%) responses were received. Of those who had a left nephrectomy, 39% had testicular pain; 23.8% of those patients had testicular swelling in addition. Of those who had pain, laterality of kidney donated did not impact if the patient had pain, pain onset, pain level, or pain duration. Of those who donated their right kidney, 35% had testicular pain, and 16.7% of those patients reported testicular swelling in addition. Twenty-seven symptomatic patients sought additional medical care for the testicular symptoms postdonation. Seven (25%) had hydroceles, 2 (7%) had testicular cysts, 1 had a urinary tract infection, and 16 (59%) had reassurance or no additional procedures provided.
Our results suggest that orchialgia is not as uncommon as previously thought and may be one of the most common minor complications experienced by male donors.
腹腔镜供体肾切除术（LDN）对供体具有优势。文献报道的LDN术后睾丸疼痛发生率在3%至55%之间。
对2009年2月5日至2019年2月5日期间进行捐赠的322名男性LDN患者进行了一项调查。该调查评估了供体在捐赠后是否有睾丸疼痛或是否咨询过其他医疗专业人员。
在322名接受调查者中，收到了147份（46%）回复。在接受左肾切除术的患者中，39%有睾丸疼痛；其中23.8%的患者还伴有睾丸肿胀。在有疼痛的患者中，所捐赠肾脏的侧别对患者是否疼痛、疼痛发作、疼痛程度或疼痛持续时间没有影响。在捐赠右肾的患者中，35%有睾丸疼痛，其中16.7%的患者还报告有睾丸肿胀。27名有症状的患者在捐赠后因睾丸症状寻求了额外的医疗护理。7名（25%）有鞘膜积液，2名（7%）有睾丸囊肿，1名有尿路感染，16名（59%）得到了安慰或未接受其他治疗。
我们的结果表明，睾丸疼痛并不像以前认为的那样罕见，可能是男性供体最常见的轻微并发症之一。
