Evaluation of the loin pain/hematuria syndrome treated by renal autotransplantation or radical renal neurectomy

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

“…Previous studies reported success rate in pain relief of from 25% up to 70% for patients with LPHS undergoing autotransplantation . Rates of pain recurrence after autotransplantation were demonstrated as many as 24% to 75% . Our study showed a higher rate of pain relief at 87.5% with a pain recurrence rate of 25%.…”

“…Our study focused on the patients with LPHS refractory to conservative medical treatment (4,29). Previous studies reported success rate in pain relief of from 25% up to 70% for patients with LPHS undergoing autotransplantation (2,7,19,(22)(23)(24)30). Rates of pain recurrence after autotransplantation were demonstrated as many as 24% to 75% (30)(31)(32)(33)(34)(35)(36).…”

Lumbar Sympathetic Chain Neuromodulation with Implanted Electrodes for Long-Term Pain Relief in Loin Pain Haematuria Syndrome

“…Surgical interventions aimed at renal denervation were developed after temporary relief seen in some patients following nerve blockade. The procedures include laparoscopic renal denervation (27), surgical sympathectomy (28), removal of renal capsule (29), nephrectomy (30), and renal auto‐transplantation (31–34). Renal denervation had only a 25% success rate and reduced analgesic requirement in a further third in one study (35).…”

Nephrolithiasis and Nephrocalcinosis

“…Denervation of the kidney by autotransplantation is rarely successful. 20 The extreme measure of nephrectomy has been used, but pain often recurs promptly in the contralateral kidney. Bilateral nephrectomy with renal replacement therapy has been reported as an approach of very last resort.…”