Nerve sparing retroperitoneal lymphadenectomy after primary chemotherapy for metastatic testicular carcinoma

G. R. Wahle, R. S. Foster, R. Bihrle, R. G. Rowland, R. M. Bennett, J. P. Donohue, J. P. Richie

Research output: Contribution to journalArticle

32 Scopus citations

Abstract

Initial success with nerve sparing retroperitoneal lymph node dissections in patients with low stage nonseminomatous germ cell tumors of the testis has led to the application of these techniques to a select group of 40 patients treated after chemotherapy at our institution between March 1988 and November 1991. A minimum 1-year followup was available for 38 patients. There have been no abdominal relapses, and 34 of the 38 patients report normal ejaculation postoperatively. Nerve sparing techniques are applicable to select patients undergoing retroperitoneal lymph node dissection after primary chemotherapy for metastatic disease without increasing the chance of local recurrence. Emission and ejaculation are preserved in the majority of patients.

Original languageEnglish (US)
Pages (from-to)428-430
Number of pages3
JournalJournal of Urology
Volume152
Issue number2
DOIs
StatePublished - Jan 1 1994

Keywords

  • drug therapy
  • infertility, male
  • lymph node excision
  • testicular neoplasms

ASJC Scopus subject areas

  • Urology

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