[Horseshoe Kidney Associated with Ejaculation Disorder after Laparoscopic Heminephrectomy : A Case Report].

Abstract

A 27-year-old man was referred to our hospital with right-sided back pain and renal dysfunction. Computed tomography revealed a right-sided horseshoe kidney with hydronephrosis and a thin renal cortex. Diuretic renography revealed a nonfunctioning right kidney. We diagnosed the patient with a symptomatic nonfunctioning right kidney and performed laparoscopic right heminephrectomy. His right-sided back pain reduced postoperatively ; however, he developed retrograde ejaculation, which was attributable to intraoperative injury to the superior hypogastric nerve plexus. We treated the patient with amoxapine (an antidepressant), which led to improvement in retrograde ejaculation.

• Authors: Masaya Hashimura, Nobuo Oyama
• Journal: Hinyokika kiyo. Acta urologica Japonica (Hinyokika Kiyo) Vol. 66 Issue 10 Pg. 343-346 (Oct 2020) ISSN: 0018-1994 [Print] Japan
• PMID: 33271647 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Ejaculation
• Fused Kidney
• Humans
• Kidney
• Laparoscopy
• Male
• Nephrectomy