A preliminary report: Postoperative fertility assessment in nerve-sparing RPLND patients

R. S. Foster, R. Bennett, R. Bihrle, J. P. Donohue

Research output: Contribution to journalArticle

6 Scopus citations


Nerve-sparing RPLND is a procedure suited to patients with clinical stage I nonseminoma. Additionally, nerve-sparing techniques are applicable to patients with higher stage disease. Although ejaculation is reliably preserved with nerve-sparing techniques, the question of these patients' fertility has remained. Fertility was assessed in these patients by two techniques: laboratory analysis of semen and a post-RPLND questionnaire. Semen analyses and DNA histograms suggested fertility in > 70%; in addition, 43 of 53 (81%) patients who have tried to father children post RPLND have been successful. Nerve-sparing RPLND appears to be able to preserve fertility potential in these patients.

Original languageEnglish (US)
Pages (from-to)165-168
Number of pages4
JournalEuropean urology
Issue number1
StatePublished - Jan 1 1993



  • fertility
  • nerve-sparing RPLND
  • testis cancer

ASJC Scopus subject areas

  • Urology

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