Reply by Authors
1
8. Dindo D, Demartines N and Clavien PA: Classification of sur- gical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 2004; 240: 205. 9. Fabrizio MD, Ratner LE, Montgomery RA and Kavoussi LR: Laparoscopic live donor nephrectomy. Urol Clin North Am 1999; 26: 247. 10. Portis AJ, Yan Y, Landman J, Chen C, Barrett PH, Fentie DD et al: Long-term followup after laparoscopic radical ne- phrectomy. J Urol 2002; 167: 1257. 11. Permpongkosol S, Bagga HS, Romero FR, Sroka M, Jarrett TW and Kavoussi LR: Laparoscopic versus open partial ne- phrectomy for the treatment of pathological T1N0M0 renal cell carcinoma: a 5-year survival rate. J Urol 2006; 176: 1984. 12. Steinberg AP, Finelli A, Desai MM, Abreu SC, Ramani AP, Spaliviero M et al: Laparoscopic radical nephrectomy for large (greater than 7 cm, T2) renal tumors. J Urol 2004; 172: 2172. 13. Ramani AP, Desai MM, Steinberg AP, Ng CS, Abreu SC, Kaouk JH et al: Complications of laparoscopic partial ne- phrectomy in 200 cases. J Urol 2005; 173: 42. 14. Shuford MD, McDougall EM, Chang SS, LaFleur BJ, Smith JA Jr and Cookson MS: Complications of contemporary radical nephrectomy: comparison of open vs. laparoscopic ap- proach. Urol Oncol 2004; 22: 121. 15. Rassweiler J, Fornara P, Weber M, Janetschek G, Fahlenkamp D, Henkel T et al: Laparoscopic nephrectomy: the experi- ence of the laparoscopy working group of the German Uro- logic Association. J Urol 1998; 160: 18. 16. Yeniyol CO, Tuna A, Yener H, Zeyrek N and Tilki A: High ligation to treat pain in varicocele. Int Urol Nephrol 2003; 35: 65. 17. Tung MC, Huang WJ and Chen KK: Modified subinguinal varicocelectomy for painful varicocele and varicocele-asso- ciated infertility. J Chin Med Assoc 2004; 67: 296. 18. Chawla A, Kulkarni G, Kamal K and Zini A: Microsurgical varicocelectomy for recurrent or persistent varicoceles as- sociated with orchalgia. Urology 2005; 66: 1072. 19. Misseri R, Gershbein AB, Horowitz M and Glassberg KI: The adolescent varicocele. II: the incidence of hydrocele and delayed recurrent varicocele after varicocelectomy in a long-term follow-up. BJU Int 2001; 87: 494. 20. Hassan JM, Adams MC, Pope JC IV, Demarco RT and Brock JW III: Hydrocele formation following laparoscopic varico- celectomy. J Urol 2006; 175: 1076. EDITORIAL COMMENT The authors present an interesting finding and potentially reportable complication from laparoscopic renal surgery. As physicians we are practicing under enormous medicolegal pressure and, thus, it is important to disclose all potential postoperative issues to our patients. The authors report a 50% incidence following donor nephrectomy surgery in male patients. Although this may not be quite as prevalent at other institutions, this incidence is significant in this small series and may just be underreported at other institutions. With the formation of a possible donor registry in the future, this finding and other issues related to donor surgery may be more readily apparent. Michael A. Palese Department of Urology The Mount Sinai Medical Center New York, New York REPLY BY AUTHORS The incidence of orchalgia in retrospective series of laparo- scopic nephrectomy varies widely, with the highest inci- dence that we could find reported at 9.6%. 1 We hope that future prospective study will help define not only the inci- dence, but also provide insight into what technical changes might prevent ipsilateral postoperative orchalgia. 1. Kim FJ, Pinto P, Su LM, Jarrett TW, Rattner LE, Montgomery R et al: Ipsilateral orchialgia after laparoscopic donor ne- phrectomy. J Endourol 2003; 17: 405. TESTICULAR PAIN AFTER LAPAROSCOPIC RENAL SURGERY 2041
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Transcript of Reply by Authors
TESTICULAR PAIN AFTER LAPAROSCOPIC RENAL SURGERY 2041
8. Dindo D, Demartines N and Clavien PA: Classification of sur-gical complications: a new proposal with evaluation in acohort of 6336 patients and results of a survey. Ann Surg2004; 240: 205.
9. Fabrizio MD, Ratner LE, Montgomery RA and Kavoussi LR:Laparoscopic live donor nephrectomy. Urol Clin North Am1999; 26: 247.
10. Portis AJ, Yan Y, Landman J, Chen C, Barrett PH, Fentie DDet al: Long-term followup after laparoscopic radical ne-phrectomy. J Urol 2002; 167: 1257.
11. Permpongkosol S, Bagga HS, Romero FR, Sroka M, Jarrett TWand Kavoussi LR: Laparoscopic versus open partial ne-phrectomy for the treatment of pathological T1N0M0 renalcell carcinoma: a 5-year survival rate. J Urol 2006; 176:1984.
12. Steinberg AP, Finelli A, Desai MM, Abreu SC, Ramani AP,Spaliviero M et al: Laparoscopic radical nephrectomy forlarge (greater than 7 cm, T2) renal tumors. J Urol 2004;172: 2172.
13. Ramani AP, Desai MM, Steinberg AP, Ng CS, Abreu SC,Kaouk JH et al: Complications of laparoscopic partial ne-phrectomy in 200 cases. J Urol 2005; 173: 42.
14. Shuford MD, McDougall EM, Chang SS, LaFleur BJ, Smith JAJr and Cookson MS: Complications of contemporary radicalnephrectomy: comparison of open vs. laparoscopic ap-proach. Urol Oncol 2004; 22: 121.
15. Rassweiler J, Fornara P, Weber M, Janetschek G, FahlenkampD, Henkel T et al: Laparoscopic nephrectomy: the experi-ence of the laparoscopy working group of the German Uro-logic Association. J Urol 1998; 160: 18.
16. Yeniyol CO, Tuna A, Yener H, Zeyrek N and Tilki A: Highligation to treat pain in varicocele. Int Urol Nephrol 2003;35: 65.
17. Tung MC, Huang WJ and Chen KK: Modified subinguinalvaricocelectomy for painful varicocele and varicocele-asso-ciated infertility. J Chin Med Assoc 2004; 67: 296.
18. Chawla A, Kulkarni G, Kamal K and Zini A: Microsurgicalvaricocelectomy for recurrent or persistent varicoceles as-sociated with orchalgia. Urology 2005; 66: 1072.
19. Misseri R, Gershbein AB, Horowitz M and Glassberg KI: The
adolescent varicocele. II: the incidence of hydrocele anddelayed recurrent varicocele after varicocelectomy in along-term follow-up. BJU Int 2001; 87: 494.
20. Hassan JM, Adams MC, Pope JC IV, Demarco RT and BrockJW III: Hydrocele formation following laparoscopic varico-celectomy. J Urol 2006; 175: 1076.
EDITORIAL COMMENT
The authors present an interesting finding and potentiallyreportable complication from laparoscopic renal surgery. Asphysicians we are practicing under enormous medicolegalpressure and, thus, it is important to disclose all potentialpostoperative issues to our patients. The authors report a50% incidence following donor nephrectomy surgery in malepatients. Although this may not be quite as prevalent atother institutions, this incidence is significant in this smallseries and may just be underreported at other institutions.With the formation of a possible donor registry in the future,this finding and other issues related to donor surgery may bemore readily apparent.
Michael A. PaleseDepartment of Urology
The Mount Sinai Medical CenterNew York, New York
REPLY BY AUTHORS
The incidence of orchalgia in retrospective series of laparo-scopic nephrectomy varies widely, with the highest inci-dence that we could find reported at 9.6%.1 We hope thatfuture prospective study will help define not only the inci-dence, but also provide insight into what technical changesmight prevent ipsilateral postoperative orchalgia.
1. Kim FJ, Pinto P, Su LM, Jarrett TW, Rattner LE, MontgomeryR et al: Ipsilateral orchialgia after laparoscopic donor ne-
phrectomy. J Endourol 2003; 17: 405.
