title: Transperitoneal laparoscopic renal denervation for the management of loin pain haematuria syndrome.
abstract: OBJECTIVE
  To assess the role of laparoscopic renal denervation as a surgical option in loin pain-haematuria syndrome (LPHS), refractory to conservative treatment.
  
  
  METHODS
  Nine patients between 2000 and 2010 with a diagnosis of LPHS following extensive investigations. The data collection from medical records and electronic databases included demographic details, details of surgical procedures, perioperative outcomes, pain recurrences and ongoing analgesia requirements. A telephone follow-up was conducted after at least one year after the procedure for each patient using the Pain Impact Questionnaire (PIQ-6TM) to assess impact of pain on their quality of life.
  
  
  RESULTS
  Nine patients (nine women; median age 37 years) underwent 11 laparoscopic denervations. The median follow-up was 28 months. The median operative time was 150 min. There were no significant postoperative complications. In four patients (44%) laparoscopic denervation procedures were curative (median follow-up 70.5 months). The analgesic requirement was significantly reduced in 22% of patients. Telephone follow-up confirmed that 66.66% of the patients had better quality of life after the procedure.
  
  
  CONCLUSIONS
  Laparoscopic renal denervation is a feasible and safe alternative to open procedures in patients with refractory LPHS, producing good outcomes in terms of pain-free rates and quality of life impact.
authors.affiliation: Section of academic Urology, Medical Research Institute, University of Dundee, Scotland , UK.
authors.forename: Nourdin
authors.initials: N
authors.lastname: Kadi
authors.forename: Edward
authors.initials: E
authors.lastname: Mains
authors.forename: Nick
authors.initials: N
authors.lastname: Townell
authors.forename: Ghulam
authors.initials: G
authors.lastname: Nabi
mesh_terms: D000328:Adult; D000700:Analgesics / Q000008:administration & dosage; D005240:Feasibility Studies; D005260:Female; D021501:Flank Pain / Q000209:etiology / Q000601:surgery*; D005500:Follow-Up Studies; D006417:Hematuria / Q000209:etiology / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D061646:Operative Time; D010147:Pain Measurement; D010148:Intractable Pain / Q000209:etiology / Q000601:surgery; D011183:Postoperative Complications / Q000453:epidemiology; D011788:Quality of Life; D011795:Surveys and Questionnaires; D013562:Sympathectomy / Q000379:methods*; D013577:Syndrome; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000700:Analgesics