TY - JOUR
T1 - Incidence and correlates of testicular pain after kidney donation
AU - Gandhi, Nisarg V.
AU - Murad, Dina N.
AU - Hebert, Sean A.
AU - Morgan, Monica
AU - Nguyen, Duc T.
AU - Graviss, Edward A.
AU - Ibrahim, Hassan N.
N1 - Publisher Copyright:
Copyright © 2022 Gandhi, Murad, Hebert, Morgan, Nguyen, Graviss and Ibrahim.
PY - 2022/9/13
Y1 - 2022/9/13
N2 - Some kidney donors experience testicular pain after donation. We studied the presence of testicular pain in male donors from The Renal and Lung Donor Evaluation (RELIVE) Study which investigated short- and long-term outcomes of 8922 kidney donors. Of the 2551 male donors with available testicular status data included in the analysis, 54 (2.12%) developed testicular pain 19 days (IQR 7, 40) after donation: 34 had testicular pain only, 6 had epididymitis, and 14 had both. Donors developing pain were 4 years older and pain occurred more often in those undergoing laparoscopic nephrectomy; 3.6% vs. 1.1% for open nephrectomy. Non-Hispanic White ethnicity and undergoing laparoscopic nephrectomy were associated with increased risk of testicular pain; RR 5.56 (95% CI 1.35, 22.84), p=0.02, RR 3.11 (95% CI 1.71, 5.65), p<0.001, respectively. Laterality of nephrectomy, however, was not associated with increased risk of testicular pain. Testicular pain is not infrequent and contrary to previous reports, left nephrectomy was not associated with a higher incidence of testicular pain. Donors should be routinely asked about this potentially bothersome complication.
AB - Some kidney donors experience testicular pain after donation. We studied the presence of testicular pain in male donors from The Renal and Lung Donor Evaluation (RELIVE) Study which investigated short- and long-term outcomes of 8922 kidney donors. Of the 2551 male donors with available testicular status data included in the analysis, 54 (2.12%) developed testicular pain 19 days (IQR 7, 40) after donation: 34 had testicular pain only, 6 had epididymitis, and 14 had both. Donors developing pain were 4 years older and pain occurred more often in those undergoing laparoscopic nephrectomy; 3.6% vs. 1.1% for open nephrectomy. Non-Hispanic White ethnicity and undergoing laparoscopic nephrectomy were associated with increased risk of testicular pain; RR 5.56 (95% CI 1.35, 22.84), p=0.02, RR 3.11 (95% CI 1.71, 5.65), p<0.001, respectively. Laterality of nephrectomy, however, was not associated with increased risk of testicular pain. Testicular pain is not infrequent and contrary to previous reports, left nephrectomy was not associated with a higher incidence of testicular pain. Donors should be routinely asked about this potentially bothersome complication.
KW - kidney donors
KW - nephrectomy
KW - outcomes of kidney transplantation
KW - retrospective observational study kidney
KW - testicular pain
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U2 - 10.3389/fruro.2022.986255
DO - 10.3389/fruro.2022.986255
M3 - Article
AN - SCOPUS:85183420668
SN - 2673-9828
VL - 2
JO - Frontiers in Urology
JF - Frontiers in Urology
M1 - 986255
ER -