Laparoscopic renal denervation and nephropexy for autosomal dominant polycystic kidney disease related pain in adolescents.

Abstract

We present our initial experience with laparoscopic renal denervation and nephropexy for ADPKD related pain in the adolescent population. Four patients 15 to 19 years old previously diagnosed with ADPKD presented with chronic pain refractory to narcotic analgesics. These 4 patients underwent laparoscopic renal denervation of 5 kidneys. Mean operative time was 136 minutes and mean hospital stay was 2.75 days. All patients were pain-free at discharge home and remained pain-free at a mean followup of 11.5 months. We believe that laparoscopic renal denervation plus nephropexy is a promising option for uncontrolled ADPKD related pain in the adolescent population.