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Ejaculatory dysfunction after retroperitoneal lymphadenectomy.

D R Jones·A R Norman·A Horwich·W F Hendry
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Abstract

The effects of retroperitoneal lymphadenectomy on ejaculation have been examined in 186 patients who had removal of residual masses after chemotherapy for metastatic non-seminomatous germ cell tumours. The results were analysed for significance using a chi 2 test of independence. Forty-one men (22%) permanently lost ejaculation postoperatively. The larger the size of the mass removed, the more likely the patient was to have ejaculatory failure (< 4 cm = 4%, 4-8 cm = 17%, > 8 cm = 58%; p < 0.005). Removal of bilateral masses was more likely to result in loss of ejaculation than unilateral masses (45 and 12%, respectively, p < 0.005). There has been significantly less postoperative ejaculatory dysfunction since 1984 when a nerve sparing dissection was introduced (before 1984 36%, since 1984 16%, p < 0.005). The incidence of ejaculatory dysfunction following retroperitoneal lymphadenectomy is therefore determined by the size and position of residual lymph node masses after chemotherapy and can be kept to a minimum by a careful nerve sparing operative technique.

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Data Interpretation, StatisticalEjaculationHumansLymph Node ExcisionMaleNeoplasms, Germ Cell and EmbryonalRetroperitoneal SpaceSperm CountTesticular NeoplasmsUrineJournal Article

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D R Jones, A R Norman, A Horwich, W F Hendry. 1993. Ejaculatory dysfunction after retroperitoneal lymphadenectomy.. https://doi.org/10.1159/000474588

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