Loin pain hematuria syndrome: a psychiatric and surgical conundrum.
OBJECTIVE
The loin pain hematuria syndrome presents a dilemma with regards to the etiology, as well as the treatment of this rarely seen entity. In view of the increasing frequency of diagnosis, and the question of whether this disorder constitutes a somatoform disorder or a physical disorder remedied through renal autotransplantation we should familiarize ourselves with this condition, so as to clarify its nature.


RESULTS
There may be a subset of loin pain hematuria syndrome patients that have a somatoform disorder. Patients appear to have better outcomes with autotransplantation, than with intraureteric capsaicin treatment or renal denervation.


CONCLUSIONS
This paper attempts to provide an overview of the topic and propose further investigation to better determine whether a subset of these patients have a somatoform disorder.
Coffman
Kathy Lee
KL
Cleveland Clinic, Cleveland, Ohio 44195, USA. coffmak@ccf.org
D002211:Capsaicin / Q000627:therapeutic use; D003714:Denervation; D003937:Diagnosis, Differential; D006417:Hematuria / Q000175:diagnosis / Q000209:etiology / Q000523:psychology / Q000601:surgery*; D006801:Humans; D007674:Kidney Diseases / Q000175:diagnosis / Q000209:etiology / Q000523:psychology / Q000601:surgery*; D016030:Kidney Transplantation / Q000009:adverse effects / Q000941:ethics; D010146:Pain / Q000175:diagnosis / Q000209:etiology / Q000523:psychology / Q000601:surgery*; D018570:Risk Assessment; D012307:Risk Factors; D013001:Somatoform Disorders / Q000175:diagnosis / Q000209:etiology / Q000523:psychology / Q000601:surgery*; D013577:Syndrome; D014182:Transplantation, Autologous; D016896:Treatment Outcome
D002211:Capsaicin