Clinical and safety outcomes of laparoscopic nephrectomy with renal autotransplantation for the loin pain‐hematuria syndrome: a 14‐year longitudinal cohort study

Abstract

Renal autotransplantation is a possible treatment option for LPHS refractory to conservative medical treatment. It can offer pain relief and better quality of life. Despite postoperative risk, it seems to be safe for survival and renal outcomes.

Decoding Loin Pain Hematuria Syndrome: In-Depth Review of Clinical Characteristics and Family History

“…Zubair et al. 9 reported anxiety and depression in 12 of 21 patients. In our cohort, 14 of 24 (60%) had a history of anxiety and depression with 11 of 14 patients being diagnosed before the diagnosis of LPHS.…”

Indications for and results of renal autotransplantation

“…Renal autotransplantation has a high morbidity rate with relatively low mortality rate and can lead to significant improvement in quality of life and renal function preservation. Mortality ranges from 0.0% to 6.0% (Table 2) [4,78 ▪ ,91,119 ▪ ,122–131]. In a United Kingdom series, overall survival was 92% at 1-year, 87% at 3-years, 87% at 5-years, and 75% at 10-years whereas graft survival was 82% at 1-year, 3-years, 5-years, and 10-years [78 ▪ ].…”

Renal Auto-Transplantation for Loin Pain Hematuria Syndrome Using a Multidisciplinary Team Model: Intermediate-Term Results

“…Surgical or other procedure-based therapies include percutaneous regional nerve block, surgical sympathectomy, renal capsulotomy, vascular pedicle denervation, ureterolysis, nephrectomy, and renal auto-transplantation (RAT) [2,[7][8][9]. Previous reports describe RAT as encouraging therapy for LPHS, but with widely variable pain relief ranging between 25% and 88% [10][11][12][13][14].…”