Nephroptosis with Co-existing Lesions

Laparoscopic Nephropexy

“…Kidney fixation was accomplished by suturing the renal capsule to the quadratus lumborum. The sur¬ gical results were characterized by a mean operative time of 4.0 (range 2.5-7) hours, a mean parenteral narcotic requirement of 42.7 mg (range 18.5-80) of morphine sulfate, an estimated blood loss of <50 mL in all cases, a mean of 12.5 (range [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24] hours to resumption of oral intake, and a mean hospital stay of 2.5 (range \-<X) days. Patients reported a return to normal ac¬ tivity at a mean of 2.5 (range l^t) weeks, and 100% were asymptomatic at a mean follow-up of 11 (range 2-30) months.…”

Early experience of intraureteric capsaicin infusion in loin‐pain haematuria syndrome

“…This is based on experience with 165 patients with SN seen during the last 8 years, and increasing at a rate of 1.7 cases per month. The value of upright IVU [6,7], arteriography [8] and isotope renography [8,9] is documented, but SN is currently a forgotten or ignored diagnosis because it was ‘disparaged’ some 46 years ago [7].…”

“…The problems of diagnosis have been compounded during the last 30 years, as most textbooks have ignored SN [7] until it has become a forgotten diagnosis. Genuine cases with intractable loin pain are frequently missed; the chance diagnosis of SN is unlikely as all supine images are normal [1–9]. Some patients are labelled as malingerers, opiate‐dependent or having psychiatric disorders [1–8].…”

“…Genuine cases with intractable loin pain are frequently missed; the chance diagnosis of SN is unlikely as all supine images are normal [1–9]. Some patients are labelled as malingerers, opiate‐dependent or having psychiatric disorders [1–8]. Worse, some patients may acquire such disorders as a result of the prolonged undiagnosed and untreated suffering.…”

“…The exact cause of renal pain in genuine SN or LPHS is difficult to establish. Ischaemia, obstruction and infection are known causes which may be found as a combination during a single episode [2,3,6] or may individually cause pain at a particular stage. It is important to identify the cause of the initial functional renal pain [8], which is perhaps like ‘angina or recurrent torsion’ causing pain and haematuria, and to differentiate it from that caused by later organic complications.…”