Retroperitoneal lymphnode dissection (RPLND) for low stage testicular cancer involves a low rate of dry ejaculation. The nerve-sparing technique avoids damage to sympathetic fibers. Six cases of non-seminomatous testicular cancer were treated. By means of midline incision and intestinal derotation, the vascular plane and the sympathetic fiber are identified, before starting lymphnode dissection. All patients report physiological ejaculation; post-operative follow-up is still short but, at present, all patients are tumour free. In low stage testicular cancer, nerve-sparing lymphadenectomy preserves physiological ejaculation and also reduces surgical morbidity.
|Translated title of the contribution||Nerve-sparing lymphadenectomy in patients with stage 1 non-seminomatous testis tumors|
|Number of pages||2|
|Journal||Acta Urologica Italica|
|Issue number||SUPPL. 2|
|Publication status||Published - 1993|
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