Renal transplantation in a patient with loin pain hematuria syndrome.
We describe a patient with loin pain hematuria syndrome who required bilateral nephrectomy because of intractable pain and urological complications. After bilateral nephrectomy, his pain disappeared for the first time in 40 years. He subsequently received a cadaveric renal transplant which, at 4-year follow-up, is working well. Although he has developed intermittent microscopic hematuria, there has been no significant recurrence of pain over the kidney. This is the first reported case of transplantation after bilateral nephrectomy for loin pain hematuria syndrome. It provides insight tnto the possible pathogenic mechanisms underlying the condition.
Diwakar
R
R
SW Thames Renal and Transplantation Unit, St. Helier Hospital, Carshalton, Surrey, Great Britain.
Andrews
P A
PA
D000328:Adult; D006417:Hematuria / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007668:Kidney / Q000503:physiopathology; D016030:Kidney Transplantation; D008297:Male; D009392:Nephrectomy; D010146:Pain / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D013577:Syndrome