title: Stage A nonseminomatous testis carcinoma: rationale and results of nerve-sparing retroperitoneal lymphadenectomy.
abstract: The major objection to the use of retroperitoneal lymphadenectomy in low-stage testis cancer has been the universal loss of ejaculatory ability if a full bilateral dissection is performed. The Indiana University experience with nerve-sparing dissection is presented. One hundred percent of the patients subjected to this procedure maintain ejaculatory ability.
authors.affiliation: Department of Urology, Indiana University Medical Center, Indianapolis.
authors.forename: R S
authors.initials: RS
authors.lastname: Foster
authors.forename: J P
authors.initials: JP
authors.lastname: Donohue
authors.forename: R
authors.initials: R
authors.lastname: Bihrle
mesh_terms: D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control*; D008197:Lymph Node Excision / Q000379:methods*; D008297:Male; D009367:Neoplasm Staging; D009373:Neoplasms, Germ Cell and Embryonal / Q000473:pathology / Q000601:surgery*; D009412:Nerve Fibers; D012187:Retroperitoneal Space; D013736:Testicular Neoplasms / Q000473:pathology / Q000601:surgery*