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Author Topic: Severe Nerve Pain in Tesicular area  (Read 5545 times)

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Offline SufferingfromNervePain

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Severe Nerve Pain in Tesicular area
« on: April 10, 2015, 01:34:29 PM »
Has anyone out there suffered severe pain in the Testicular area after donating a kidney?  5 years ago,  I donated a kidney, and within days after surgery, I started having pain in my Testicular area.  The doctors removed some nerve tissue that surrounds the testicle and finally they removed the testicle.  The doctors did not want to take responsibility for the "damage" they caused and sent me on my way, saying that after 90 days, they were no longer responsible for my care, even if it was severe pain.

It was just the other day that I found out through spiritual means that the doctors that performed the surgery were in so much of a hurry they inadvertently cut some muscle and nerve tissue that has not healed.  The nerve tissue in that area has become so inflamed that they nerve tissue becomes agitated easily, which is the source of my pain problems.

I wonder if anyone has gone through the agony of so much pain, that they cannot hold a job for long because the nerve pain is excruciating?

Offline Fr Pat

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Re: Severe Nerve Pain in Tesicular area
« Reply #1 on: April 12, 2015, 02:11:10 AM »
     I did not have that problem, but testicle pain is a documented complication that hurts from 5 to 10 percent of male donors. For many, it goes away gradually, but some have had long-term problems. You can search the topic here and look for extensive past postings at this site about this. Or perhaps one of the moderators can help you locate those postings? All male potential kidney donors should be warned of this possibility BEFORE they decide to go ahead.
   Fr. Pat

Offline Michael

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Re: Severe Nerve Pain in Tesicular area
« Reply #2 on: April 12, 2015, 08:25:35 AM »
As Father Pat notes, there have been discussions on LDO in the past on this topic. There have also been medical studies that have identified testicular pain as a common complication among males of living kidney donation. Here are a few references:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3954321/
http://www.ncbi.nlm.nih.gov/pubmed/21521470
http://www.livingdonor101.com/risks.shtml#TESTICULAR_SWELLING
https://livingdonorsonline.org/ldosmf/index.php?topic=257.msg744#msg744

Please let us know what else would be helpful.

Michael
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Our mission: to improve the living donation experience

Offline Clark

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Re: Severe Nerve Pain in Tesicular area
« Reply #3 on: April 14, 2015, 11:36:06 AM »
Updated journal articles:

Laparoscopic donor nephrectomy: an increasingly common cause for testicular pain and swelling
M Jalali,1 S Rahmani,1, 2 AD Joyce,1 JJ Cartledge,1 MH Lewis,2 and N Ahmad1
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3954321/
CONCLUSIONS: Testicular pain and swelling following LDN is a common problem. It is underreported in the literature and should be included in the differential diagnoses of testicular pain and swelling. Further investigation is required to confirm our findings.

Technical Modification for Laparoscopic Donor Nephrectomy to Minimize Testicular Pain: A Complication with Significant Morbidity
S. P. Shirodkar1, M. A. Gorin1, J. Sageshima2, V. G. Bird1, J. M. Martinez3, A. Zarak2, G. Guerra2, L. Chen2, G. W. Burke2 and G. Ciancio1,2,*
http://onlinelibrary.wiley.com/doi/10.1111/j.1600-6143.2011.03495.x/abstract
Abstract: The laparoscopic approach to donor nephrectomy is becoming increasingly common. While it is felt that the recovery from laparoscopic nephrectomy is quicker and less painful, a number of complications have been reported. A rarely reported on complication in the literature with significant morbidity is ipsilateral orchalgia. From 1998 to 2008, 257 hand-assisted laparoscopic donor nephrectomies were performed at our institution. Eight of 129 (6.2%) men complained of de novo ipsilateral orchalgia postoperatively. The average duration of pain was 402 days. Patients reported significant morbidity related to this complication. None, however, required further treatment. Three patients reported that they would reconsider organ donation as a result of testicular pain. Our technique originally included dissection and ligation of the gonadal vein en bloc with the ureter at the level of the left common iliac artery. Since recognizing this complication, we have adopted a gonadal vein sparing approach so as not to disturb the vessel below its point of ligation at the renal vein. To date, 50 patients have undergone the modified technique without experiencing orchalgia. In conclusion, ipsilateral testicular pan is a relatively frequent complication of laparoscopic donor nephrectomy and may be a source of significant morbidity. Using a modified surgical technique, this complication can be reduced or eradicated.

Orchialgia after laproscopic renal surgery: a common problem with questionable etiology. Are there any predictors?
Alok Srivastava, Rakesh Kapoor, Aneesh Srivastava, M. S. Ansari, Manmeet Singh, Rohit Kapoor
http://link.springer.com/article/10.1007%2Fs00345-012-0864-7
Conclusion
Ipsilateral orchialgia is common in patients undergoing laproscopic renal surgery specially after radical nephroureterectomy and nephrectomy specially when the ureter and gonadal vein are taken down at or below their crossing of iliac vessels. Taking down ureter above, rather than below, the iliac vessels whenever possible may be preventive as is the preservation of gonadal vein.

Innovations in Organ Donation
Michael J. Goldstein MD1,2,*, Nir Lubezky MD1, Yuriy Yushkov PhD, MBA2, Coney Bae BS3 and James V. Guarrera MD3
http://onlinelibrary.wiley.com/doi/10.1002/msj.21312/abstract

Techniques in laparoscopic donor nephrectomy
Neal Banga and David Nicol
http://onlinelibrary.wiley.com/doi/10.1111/j.1464-410X.2012.11058.x/full

Note this was reported earlier, in 2003, too:

Ipsilateral orchialgia after laparoscopic donor nephrectomy.
Kim FJ1, Pinto P, Su LM, Jarrett TW, Rattner LE, Montgomery R, Kavoussi LR.
http://www.ncbi.nlm.nih.gov/pubmed/12965068?dopt=Abstract
Conclusion: Laparoscopic donor nephrectomy has proven to be an effective and safe surgical procedure. However, further evaluation has demonstrated a complication not previously reported, namely ipsilateral orchialgia. The etiology remains unclear but may be injury to the sensory nerves of the testicle during dissection of the periureteral tissue or transection of the spermatic cord. Further anatomic and physiological studies are needed to elucidate the pathophysiology of this problem.
Unrelated directed kidney donor in 2003, recipient and I both well.
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Elected to the OPTN/UNOS Boards of Directors & Executive, Kidney Transplantation, and Ad Hoc Public Solicitation of Organ Donors Committees, 2005-2011
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Offline dtwbcs

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Re: Severe Nerve Pain in Tesicular area
« Reply #4 on: May 07, 2015, 08:57:48 AM »
I am still dealing with this after donating 4Feb14. Glad to read others are also. Still hurts if I move too quick or sit down wrong. Tried wearing a jock strap,girdle,but to no relief.

Offline Clark

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Re: Severe Nerve Pain in Tesicular area
« Reply #5 on: May 07, 2015, 09:28:00 AM »
Best wishes, Danny. Are you seeing a primary care physician? A specialist? Have you been in touch with the transplant center? There are a number of possible causes of pain. I hope a urologist or pain specialist can help you. Take care.
Unrelated directed kidney donor in 2003, recipient and I both well.
568 time blood and platelet donor since 1976 and still giving!
Elected to the OPTN/UNOS Boards of Directors & Executive, Kidney Transplantation, and Ad Hoc Public Solicitation of Organ Donors Committees, 2005-2011
Proud grandpa!

Offline jennaride

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Re: Severe Nerve Pain in Tesicular area
« Reply #6 on: November 13, 2022, 03:47:13 AM »
Nice ressource clark thank you!

 

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