Summary
Salvage radical retroperitoneal node dissection for large residual masses remaining after chemotherapy for testicular cancer was performed in 41 patients. In 10 instances it was possible to carry out a radical removal and attempt to preserve the sympathetic chain on one side. Ejaculation was preserved in 8 of these cases. Where removal of the mass was complete (33 cases) active cancer was present in 6, only one of whom developed tumor recurrence. Salvage node dissection is worthwhile, and in about 25% of cases can be performed with preservation of ejaculation.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Bracken RB, Johnson DE, Frazier OH, Logothetis CJ, Trindade A, Samuels ML (1983) The role of surgery following chemotherapy in stage III germ cell neoplasms. J Urol 129:39–43
Donohue JP (1984) Lymphadenectomy in urologic cancers. AUA Update Series lesson 38, vol III
Donohue JP, Rowland RG, Kopecky K, Steidle CP, Geier G, Ney KG, Einhorn L, Williams S, Loehrer P (1987) Correlation of computerized tomographic changes and histological findings in 80 patients having radical retroperitoneal lymph node dissection after chemotherapy for testis cancer. J Urol 137:1176–1179
Einhorn LH, Donohue JP (1977) Cisdiaminodichloroplatinum, vinblastine and bleomycin combination chemotherapy in disseminated testicular cancer. Ann Int Med 87:293–298
Ellison MF, Mostofi FK, Flanigan RC (1988) Treatment of the residual retroperitoneal mass after chemotherapy for advanced seminoma. J Urol 140:618–620
Hendry WF, Goldstraw P, Husband JE, Barrett A, McElwain TJ, Peckham MJ (1981) Elective delayed excision of bulky para-arotic lymph node metastases in advanced non-seminoma germ cell tumours of testis. Br J Urol 53:648–653
Kennedy CL, Husband JE, Bellamy EA, Peckham MJ, Hendry WF (1985) The accuracy of CT scanning prior to para-aortic lymphadenectomy in patients with bulky metastases from testicular teratoma. Br J Urol 57:755–758
Logothetis CJ, Samuels ML, Selig DE, Johnson DE, Swanson DA, von Eschenbach AC (1985) Primary chemotherapy followed by a selective retroperitoneal lymphadenectomy in the management of clinical stage II testicular carcinoma: a preliminary report. J Urol 134:1127
Oliver RTD, Blandy JP, Hendry RTD, Pryor JP, Williams JP, Hope-Stone HF (1983) Evaluation of radiotherapy and/or surgicopathological staging after chemotherapy in the management of metastatic germ-cell tumours. Br J Urol 55:764–768
Williams SN, Jenkins BJ, Baithun SI, Oliver RTD, Blandy JP (1989) Radical retroperitoneal node dissection after chemotherapy for testicular tumours. Br J Urol 63:641–643
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Blandy, J.P., Jenkins, B.J. & Oliver, R.T.D. Preservation of sexual function after salvage retroperitoneal node dissection following chemotherapy for testicular tumors. World J Urol 10, 59–62 (1992). https://doi.org/10.1007/BF00186093
Issue Date:
DOI: https://doi.org/10.1007/BF00186093