Testicular Necrosis Post Kidney Transplantation: Lessons Learned

There is a paucity of literature on testicular complications after kidney transplant. Testicular necrosis after kidney transplantation has only been reported twice before. We present a 60- year-old man with end-stage renal disease who underwent uneventful deceased-donor kidney transplant. The patien...

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Bibliographic Details
Published in:Transplantation proceedings 2022-01, Vol.54 (1), p.126-127
Main Authors: Sabbagh, Leila M., Paramesh, Anil, Krane, Louis S., Vijay, Adarsh
Format: Article
Language:English
Subjects:
Humans
Kidney Transplantation - adverse effects
Male
Middle Aged
Necrosis
Testis
Tissue Donors
Treatment Outcome
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Summary:There is a paucity of literature on testicular complications after kidney transplant. Testicular necrosis after kidney transplantation has only been reported twice before. We present a 60- year-old man with end-stage renal disease who underwent uneventful deceased-donor kidney transplant. The patient's postoperative course was complicated by delayed graft function, urinary tract infection, epididymo-orchitis, and a necrotic testis necessitating radical orchiectomy on postoperative day 15. With their complex comorbidities compounded by a high burden of genitourinary complications, kidney transplant recipients may face testicular complications post-transplant due to the inherent risk posed by intraoperative manipulation of spermatic cord and ligation of lymphovascular structures.
ISSN:0041-1345
1873-2623
DOI:10.1016/j.transproceed.2021.12.007