The Evolution and Technique of Nerve-Sparing Retroperitoneal Lymphadenectomy

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

The evolution of retroperitoneal lymph node dissection technique and associated template modifications for nonseminomatous germ cell tumors have resulted in significant improvement in the long-term morbidity. Through the preservation of sympathetic nerves via exclusion from or prospective identification within the boundaries of resection, maintenance and recovery of antegrade ejaculation are achieved. Nerve-sparing strategies in early-stage disease are feasible in most patients. Postchemotherapy, select patients can be considered for nerve preservation. This article describes the anatomic and physiologic basis for, indications and technical aspects of, and functional and oncologic outcomes reported after nerve-sparing retroperitoneal lymphadenectomy in testicular cancer.

Original languageEnglish
Pages (from-to)311-320
Number of pages10
JournalUrologic Clinics of North America
Volume42
Issue number3
DOIs
StatePublished - Aug 1 2015

Fingerprint

Lymph Node Excision
Ejaculation
Testicular Neoplasms
Maintenance
Morbidity
Nonseminomatous germ cell tumor

Keywords

  • Antegrade ejaculation
  • Fertility
  • Nerve-sparing retroperitoneal lymph node dissection
  • Nonseminomatous germ cell tumor
  • Testicular cancer

ASJC Scopus subject areas

  • Urology

Cite this

The Evolution and Technique of Nerve-Sparing Retroperitoneal Lymphadenectomy. / Masterson, Timothy; Cary, K. Clinton; Rice, Kevin R.; Foster, Richard.

In: Urologic Clinics of North America, Vol. 42, No. 3, 01.08.2015, p. 311-320.

Research output: Contribution to journalArticle

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