AI Article Synopsis
- The development of retroperitoneal lymph node dissection techniques for treating nonseminomatous germ cell tumors has greatly reduced long-term side effects.
- By identifying and preserving sympathetic nerves during surgery, many patients can maintain their ability to ejaculate.
- The article discusses the anatomy, indications, and outcomes of nerve-sparing approaches in retroperitoneal lymphadenectomy for testicular cancer.
Article 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.
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| http://dx.doi.org/10.1016/j.ucl.2015.04.005 | DOI Listing |
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