Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Iatrogenic ejaculation disorders and their prevention.

C Terrone1, E Castelli, P Aveta

  • 1Clinica Urologica, Università degli Studi, Turin, Italy.

Minerva Urologica E Nefrologica = the Italian Journal of Urology and Nephrology
|May 11, 2001
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Magnetic-Induced Force Noise in LISA Pathfinder Free-Falling Test Masses.

Physical review letters·2025
Same author

The use of robotic surgery for the management of urethral strictures and bladder neck contractures: A systematic review.

Actas urologicas espanolas·2024
Same author

Treatment of traumatic cranial fracture with sonic activated polymer pins and plates resorbable implants in a dog.

Schweizer Archiv fur Tierheilkunde·2023
Same author

Long-term urological outcome of cloaca patients with multidisciplinary management.

Pediatric surgery international·2023
Same author

Impact of a delayed presentation to the emergency department for acute renal colic on biochemical and clinical outcomes.

Actas urologicas espanolas·2022
Same author

Challenges in diagnosing a peripheral nerve sheath tumor of the ulnar nerve in a dog - a case report.

Schweizer Archiv fur Tierheilkunde·2022
Same journal

Trimodal therapy in muscle invasive bladder cancer management.

Minerva urologica e nefrologica = The Italian journal of urology and nephrology·2020
Same journal

Is androgen deprivation therapy protective against SARS-CoV-2 infection and related complications in prostate cancer patients?

Minerva urologica e nefrologica = The Italian journal of urology and nephrology·2020
Same journal

Bowel suture technique for bladder neck reconstruction during RALP and its impact on early continence recovery.

Minerva urologica e nefrologica = The Italian journal of urology and nephrology·2020
Same journal

Systematic review of neoadjuvant therapy by immune checkpoint inhibitors before radical cystectomy: where do we stand?

Minerva urologica e nefrologica = The Italian journal of urology and nephrology·2020
Same journal

Functional and oncological outcomes of 3D clampless sutureless laparoscopic partial nephrectomy for renal tumors with low nephrometry score.

Minerva urologica e nefrologica = The Italian journal of urology and nephrology·2020
Same journal

Robot-assisted laparoscopic pyeloplasty in children: a systematic review.

Minerva urologica e nefrologica = The Italian journal of urology and nephrology·2020
See all related articles

Retroperitoneal lymphadenectomy for testis cancer can cause ejaculation disorders. Nerve-sparing techniques and unilateral procedures significantly improve ejaculation preservation rates in patients.

Area of Science:

  • Urology
  • Surgical Oncology
  • Reproductive Medicine

Background:

  • Ejaculation is controlled by sympathetic nerves from the D10-L2 medullar center, forming the superior hypogastric plexus.
  • Retroperitoneal lymphadenectomy (RL) for testis cancer is a significant cause of ejaculation disorders in young patients.
  • Previous research focused on lymph node dissection techniques to minimize ejaculation loss.

Purpose of the Study:

  • To evaluate the impact of retroperitoneal lymphadenectomy on ejaculation in testis cancer patients.
  • To analyze the effectiveness of different RL approaches (bilateral, unilateral) in preserving ejaculation.
  • To discuss the applicability of ejaculation-sparing surgical concepts to other retroperitoneal procedures.

Main Methods:

  • Retrospective analysis of 41 patients who underwent RL for testis cancer between 1983 and 1998.

Related Experiment Videos

  • Categorization of patients based on the extent of RL (bilateral vs. unilateral).
  • Assessment of ejaculation function post-surgery.

    • Main Results:

    • Overall survival rate was 95.2%.
    • In patients undergoing bilateral RL, only 33% preserved ejaculation.
    • 100% of patients with right monolateral RL and 70% with left monolateral RL preserved ejaculation.

    Conclusions:

    • Unilateral retroperitoneal lymphadenectomy significantly preserves ejaculation function compared to bilateral procedures.
    • Ejaculation-sparing surgical principles from RL can be applied to other retroperitoneal surgeries.
    • Various factors, including BPH treatment and certain medications, can also lead to ejaculation disorders.