Scrotal Surgery Risk After Kidney Donation
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by Kerri Miller
November 11, 2025
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4 min
9 Key Takeaways
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1
14% of kidney donors needed scrotal surgery after 20 years.
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2
Laparoscopic nephrectomy associates with
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3
3 surgeries per 1,000 patient-years.
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4
Hydrocelectomy is the main type of scrotal surgery performed.
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5
Study involved 898 male donors tracked over
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6
1 years.
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7
Disruption of lymphatic drainage could lead to hydroceles.
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8
Need for scrotal ultrasounds was emphasized pre-donation.
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9
Study achieved the highest Newcastle-Ottawa Scale rating.
Research led by Dr. Amit X. Garg from ICES reveals that male living kidney donors face a significantly heightened long-term risk for scrotal surgery post-laparoscopic nephrectomy, with a 14% incidence over 20 years compared to 0.7% in matched nondonors. The study tracking 898 male donors in Ontario highlights a median follow-up of 9.1 years, finding that nearly 8% required hospitalization for subsequent scrotal procedures. The findings emphasize the need to inform donors about potential risks and consider preoperative scrotal ultrasounds to document baseline conditions.
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