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EDITORIAL COMMENT

The authors present an interesting finding and potentiallyreportable complication from laparoscopic renal surgery. Asphysicians we are practicing under enormous medicolegalpressure and, thus, it is important to disclose all potentialpostoperative issues to our patients. The authors report a50% incidence following donor nephrectomy surgery in malepatients. Although this may not be quite as prevalent atother institutions, this incidence is significant in this smallseries and may just be underreported at other institutions.With the formation of a possible donor registry in the future,this finding and other issues related to donor surgery may bemore readily apparent.

Michael A. PaleseDepartment of Urology

The Mount Sinai Medical CenterNew York, New York

REPLY BY AUTHORS

The incidence of orchalgia in retrospective series of laparo-scopic nephrectomy varies widely, with the highest inci-dence that we could find reported at 9.6%.1 We hope thatfuture prospective study will help define not only the inci-dence, but also provide insight into what technical changesmight prevent ipsilateral postoperative orchalgia.

1. Kim FJ, Pinto P, Su LM, Jarrett TW, Rattner LE, MontgomeryR et al: Ipsilateral orchialgia after laparoscopic donor ne-