Ejaculatory status and fertility rates after primary retroperitoneal lymph node dissection

Stephen D.W. Beck, Aaron L. Bey, Richard Bihrle, Richard S. Foster

Research output: Contribution to journalArticle

32 Scopus citations

Abstract

Purpose We determined the incidence of antegrade emission after primary retroperitoneal lymph node dissection in a large contemporary cohort. Our secondary purpose was to evaluate the fertility rate in this population. Materials and Methods We queried the testicular cancer database at our institution from January 1, 2000 to December 31, 2005 and identified all 280 patients who underwent primary retroperitoneal lymph node dissection. Of these patients we contacted 176, and questioned them about ejaculatory and fertility status at 3 to 9 years of followup. Results Of 176 patients who underwent primary retroperitoneal lymph node dissection 171 (97%) reported preserved antegrade emission. Of the 135 men who underwent a nerve sparing procedure 134 (99%) could ejaculate, as could 33 of 37 (89%) who underwent nonnerve sparing surgery. An attempt to father children was reported by 64 men, of whom 47 (73.4%) were successful. Three other patients fathered children via in vitro fertilization. Conclusions Most men who undergo modern primary retroperitoneal lymph node dissection maintain antegrade emission and ejaculation.

Original languageEnglish (US)
Pages (from-to)2078-2080
Number of pages3
JournalJournal of Urology
Volume184
Issue number5
DOIs
StatePublished - Nov 1 2010

Keywords

  • Ejaculation
  • Fertility, male
  • Lymph node dissection
  • Neoplasms, germ cell and embryonal
  • Testis

ASJC Scopus subject areas

  • Urology
  • Medicine(all)

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