Loin pain-hematuria syndrome: Howeffective is renal autotransplantation in its treatment?

Abstract

Objectives. To evaluate our experience with renal autotransplantation in the management of loin pain-hematuria (LPH) syndrome after relatively long follow-up (30 to 35 months). Methods. Four patients with LPH syndrome of 3 to 18 years' duration underwent technicallysuccessful autotransplantation. All patients preoperatively had normal radiologic investigations, including renal arteriography and biopsy. All required narcotic analgesia for pain control. Patients were followed for 30 to 35 months. Results. All 4 patients were pain and narcotic free for 6 months postoperatively. At 18months after surgery, 3 of the 4 had recurrence of the pain and at 30 months, 2 required nephrectomy. Only 1 patient of 4 had sustained pain relief at 35 months. Conclusions. Renal autotransplantation certainly offers temporary relief from LPH syndrome,but in our experience this was not durable in the majority of our patients.