Portal de Periódicos da CAPES

Ejaculation and Fertility After Extended Retroperitoneal Lymph Node Dissection for Testicular Cancer

1982; Lippincott Williams & Wilkins; Volume: 127; Issue: 4 Linguagem: Inglês

10.1016/s0022-5347(17)53996-8

1527-3792

Perinchery Narayan, Paul H. Lange, Elwin E. Fraley,

Urologic and reproductive health conditions

No AccessJournal of Urology1 Apr 1982Ejaculation and Fertility After Extended Retroperitoneal Lymph Node Dissection for Testicular Cancer Perinchery Narayan, Paul H. Lange, and Elwin E. Fraley Perinchery NarayanPerinchery Narayan , Paul H. LangePaul H. Lange , and Elwin E. FraleyElwin E. Fraley View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)53996-8AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail We studied ejaculation and fertility in 55 men who had undergone suprahilar extended retroperitoneal lymphadenectomy for nonseminomatous testicular cancer between 1972 and 1980. Antegrade ejaculation had returned spontaneously in 25 patients, with sperm counts of 35 to 190 million per ml., and normal morphology and motility in 20. The other 5 men either refused to provide semen for analysis or had had vasectomies but all had fathered children postoperatively. Ten men in whom antegrade ejaculation had not returned spontaneously were treated with sympathomimetic drugs. Antegrade ejaculation was induced in 5 patients, 1 of whom fathered a child while taking the drugs. Two other patients who had only small volumes of ejaculate also responded well to sympathomimetic drugs. A therapeutically sound retroperitoneal node dissection can be performed for testicular cancer without impairing fertility permanently in a significant number of patients. © 1982 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byVan Basten J, Jonker-Pool G, Van Driel M, Sleijfer D, Droste J, Van De Wiel H, Koops H, Molenaar W and Hoekstra H (2018) SEXUAL FUNCTIONING AFTER MULTIMODALITY TREATMENT FOR DISSEMINATED NONSEMINOMATOUS TESTICULAR GERM CELL TUMORJournal of Urology, VOL. 158, NO. 4, (1411-1416), Online publication date: 1-Oct-1997.Richie J (2018) Editorial CommentJournal of Urology, VOL. 152, NO. 2 Part 1, (430-430), Online publication date: 1-Aug-1994.Wahle G, Foster R, Bihrle R, Rowland R, Bennett R and Donohue J (2018) Nerve Sparing Retroperitoneal Lymphadenectomy After Primary Chemotherapy for Metastatic Testicular CarcinomaJournal of Urology, VOL. 152, NO. 2 Part 1, (428-430), Online publication date: 1-Aug-1994.Recker F and Tscholl R (2018) Monitoring of Emission as Direct Intraoperative Control for Nerve Sparing Retroperitoneal LymphadenectomyJournal of Urology, VOL. 150, NO. 5 Part 1, (1360-1364), Online publication date: 1-Nov-1993.Donohue J, Thornhill J, Foster R, Rowland R and Bihrle R (2018) Retroperitoneal Lymphadenectomy for Clinical Stage a Testis Cancer (1965 to 1989): Modifications of Technique and Impact on EjaculationJournal of Urology, VOL. 149, NO. 2, (237-243), Online publication date: 1-Feb-1993.Kihara K, Sato K, Ando M, Sato T and Oshima H (2018) A Mechanism of Retrograde Ejaculation after Bilateral Hypogastric Nerve Transections in the DogJournal of Urology, VOL. 148, NO. 4, (1307-1309), Online publication date: 1-Oct-1992.Ohl D, Denil J, Bennett C, Randolph J, Menge A and McCabe M (2018) Electroejaculation Following Retroperitoneal LymphadenectomyJournal of Urology, VOL. 145, NO. 5, (980-983), Online publication date: 1-May-1991.Richie J (2018) Clinical Stage 1 Testicular Cancer: The Role of Modified Retroperitoneal LymphadenectomyJournal of Urology, VOL. 144, NO. 5, (1160-1163), Online publication date: 1-Nov-1990.Donohue J (2018) Editorial CommentsJournal of Urology, VOL. 144, NO. 2 Part 1, (297-298), Online publication date: 1-Aug-1990.Jewett M (2018) Editorial CommentJournal of Urology, VOL. 144, NO. 2 Part 1, (291-292), Online publication date: 1-Aug-1990.Colleselli K, Poisel S, Schachtner W and Bartsch G (2018) Nerve-Preserving Bilateral Retroperitoneal Lymphadenectomy: Anatomical Study and Operative ApproachJournal of Urology, VOL. 144, NO. 2 Part 1, (293-297), Online publication date: 1-Aug-1990.Donohue J, Foster R, Rowland R, Bihrle R, Jones J and Geier G (2018) Nerve-Sparing Retroperitoneal Lymphadenectomy with Preservation of EjaculationJournal of Urology, VOL. 144, NO. 2 Part 1, (287-291), Online publication date: 1-Aug-1990.Tamburini M, Filiberti A, Barbieri A, Zanoni F, Pizzocaro G, Barletta L and Ventafridda V (2018) Psychological Aspects of Testis Cancer Therapy: A Prospective StudyJournal of Urology, VOL. 142, NO. 6, (1487-1489), Online publication date: 1-Dec-1989.Donohue J (2018) Editorial CommentsJournal of Urology, VOL. 139, NO. 6, (1223-1224), Online publication date: 1-Jun-1988.Jewett M, Kong Y, Goldberg S, Sturgeon J, Thomas G, Alison R and Gospodarowicz M (2018) Retroperitoneal Lymphadenectomy for Testis Tumor with Nerve Sparing for EjaculationJournal of Urology, VOL. 139, NO. 6, (1220-1223), Online publication date: 1-Jun-1988.Bennett C, Seager S and Mcguire E (2018) Electrocoagulation for Recovery of Semen After Retroperitoneal Lymph Node Dissection: Case ReportJournal of Urology, VOL. 137, NO. 3, (513-515), Online publication date: 1-Mar-1987.Pizzocaro G, Salvioni R and Zanoni F (2018) Unilateral Lymphadenectomy in Intraoperative Stage I Nonseminomatous Germinal Testis CancerJournal of Urology, VOL. 134, NO. 3, (485-488), Online publication date: 1-Sep-1985.Fraley E, Narayan P, Vogelzang N, Kennedy B and Lange P (2018) Surgical Treatment of Patients with Stages I and II Nonseminomatous Testicular CancerJournal of Urology, VOL. 134, NO. 1, (70-73), Online publication date: 1-Jul-1985.Donohue J (2018) Editorial CommentJournal of Urology, VOL. 131, NO. 6, (1092-1092), Online publication date: 1-Jun-1984.Richie J and Garnick M (2018) Changing Concepts in the Treatment of Nonseminomatous Germ Cell Tumors of the TestisJournal of Urology, VOL. 131, NO. 6, (1089-1092), Online publication date: 1-Jun-1984.Lange P, Narayan P, Vogelzang N, Shafer R, Kennedy B and Fraley E (2018) Return of Fertility After Treatment for Nonseminomatous Testicular Cancer: Changing ConceptsJournal of Urology, VOL. 129, NO. 6, (1131-1135), Online publication date: 1-Jun-1983. Volume 127Issue 4April 1982Page: 685-688 Advertisement Copyright & Permissions© 1982 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Perinchery Narayan More articles by this author Paul H. Lange More articles by this author Elwin E. Fraley More articles by this author Expand All Advertisement PDF downloadLoading ...