Laparoscopic Renal Denervation and Nephropexy for Autosomal Dominant Polycystic Kidney Disease Related Pain in Adolescents

Purpose: We present our initial experience with laparoscopic renal denervation and nephropexy for ADPKD related pain in the adolescent population. Materials and Methods: 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. Results: 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. Conclusions: We believe that laparoscopic renal denervation plus nephropexy is a promising option for uncontrolled ADPKD related pain in the adolescent population.