Skip to Content
Rush-Copley Medical Group
Home > Health & Fitness > Healthwise > Retroperitoneal Lymph Node Dissection
Retroperitoneal lymph node dissection (RPLND) is surgery
often used to treat
testicular cancer. It is done to remove
lymph nodes that may be cancerous from the lower back
During the early phases of stage I nonseminoma
testicular cancer, it can be very difficult to tell whether these lymph nodes
are cancerous without surgically removing them first. For this reason, RPLND
may be done even though there is no sign that the cancer has spread
(metastasized) beyond the testes.
For many men, the greatest risk
associated with RPLND may be sexual side effects. Besides the risks related to
any major surgery, RPLND also may lead to a condition known as retrograde
ejaculation as a result of nerve damage caused by the surgery. In retrograde
ejaculation, the semen flows from the prostate gland into the bladder rather
than through the penis and outside the body, resulting in infertility. Men who
suffer from retrograde ejaculation typically do not have erection problems or
difficulty enjoying sex.
Nerve-sparing surgery techniques can prevent retrograde ejaculation in most men who have this surgery.1
Try to find an experienced surgeon and a medical center where
many surgeries are done for your kind of cancer. Experience can make a big
difference. You will likely have fewer side effects, and you'll recover more
National Comprehensive Cancer Network (2012). Testicular cancer. NCCN Clinical Practice Guidelines in Oncology, version 1.2012. Available online: http://www.nccn.org/professionals/physician_gls/PDF/testicular.pdf.
Current as of:
January 4, 2013
E. Gregory Thompson, MD - Internal Medicine & Christopher G. Wood, MD, FACS - Urology, Oncology
How this information was developed to help you make better health decisions.
To learn more, visit Healthwise.org
© 1995-2014 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.
Retrieving newsletters from the Web service...
Sorry, the newsletter Web service is unavailable at this time.
You have signed up for the selected newsletters.
© Copyright 2015 Rush-Copley Medical Center • 2000 Ogden Avenue; Aurora, IL 60504
Main: 630-978-6200 • Physician Referral & Information: 630-978-6700 or 866-4COPLEY (866-426-7539)