Đau tinh hoàn sau cắt thận nội soi từ người cho sống: Biến chứng thường bị bỏ sót trong tư vấn tiền phẫu

Abstract

A COMPLICATION FREQUENTLY OVERLOOKED IN PREOPERATIVE COUNSELING

Objectives: This study aims to examine the incidence, mechanisms, and impact of testicular pain in living kidney donors, particularly in relation to left and right nephrectomy.

Participants and

Methods: A retrospective cohort study was conducted involving 68 male living kidney donors who underwent laparoscopic nephrectomy at a tertiary transplant center. Data were collected on the incidence, duration, and intensity of testicular pain. Preoperative counseling and follow-up were also assessed. Anatomical variations, particularly differences in venous drainage of the testes, were explored as potential factors influencing pain outcomes.

Results: The incidence of testicular pain in the cohort was 26.5%, with the pain resolving in the majority of cases (66.7%) within 7 days. However, 27.8% of the patients experienced pain for 7–14 days, and one case persisted beyond 14 days. Left-sided nephrectomy was more commonly associated with testicular pain, likely due to the unique venous drainage patterns of the left testicle. Psychological and sexual well-being were significantly impacted, with donors expressing concerns about body image and sexual function.

Conclusions: Testicular pain following laparoscopic nephrectomy is a significant but underappreciated complication. The pain typically resolves within a short period, but it can have lasting effects on the donor’s psychological health and quality of life. Preoperative counseling regarding this potential complication is essential, and further research is needed to refine surgical techniques and reduce its incidence. Understanding the anatomical and procedural factors contributing to testicular pain can help improve the overall donor experience.