title: [Retroperitoneal lymphadenectomy and disorders of ejaculation].
abstract: Retrograde ejaculation is a frequent and permanent complication after bilateral retroperitoneal lymphadenectomy (RPLND). Seminal emission and ejaculation are primarily under sympathetic control. Several studies after RPLND in patients with nonseminomatous testis cancer proved the role of preservation of the efferent fibers originating from the lumbar sympathetic ganglia. Based on the results of anatomical studies, a modified unilateral operative technique and nerve-sparing approach permit to preserve normal anterograde ejaculation without reduction of long-term survival.
authors.affiliation: UO di Urologia, Azienda Ospedaliera Ospedali Riuniti, Bergamo, Italia.
authors.forename: G
authors.initials: G
authors.lastname: Deiana
authors.forename: A
authors.initials: A
authors.lastname: Ranieri
authors.forename: E
authors.initials: E
authors.lastname: Micheli
authors.forename: G
authors.initials: G
authors.lastname: Peracchia
authors.forename: L P
authors.initials: LP
authors.lastname: Canclini
authors.forename: D
authors.initials: D
authors.lastname: Sironi
authors.forename: C A
authors.initials: CA
authors.lastname: Levorato
authors.forename: A
authors.initials: A
authors.lastname: Lembo
mesh_terms: D004542:Ejaculation / Q000502:physiology; D007172:Erectile Dysfunction / Q000209:etiology* / Q000517:prevention & control; D005728:Ganglia, Sympathetic / Q000502:physiology; D018237:Germinoma / Q000601:surgery*; D006801:Humans; D008197:Lymph Node Excision / Q000009:adverse effects* / Q000379:methods; D008297:Male; D012187:Retroperitoneal Space; D013736:Testicular Neoplasms / Q000601:surgery*; D013997:Time Factors
vernacular_title: Linfoadenectomia lomboaortica e disturbi dell'eiaculazione.