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Related Experiment Videos

[Surgical interventions and andrological complications].

S R Rossetti1, D F Randone

  • 1Clinica Urologica, Università di Torino.

Archivio Italiano Di Urologia, Nefrologia, Andrologia : Organo Ufficiale Dell'Associazione Per La Ricerca in Urologia = Urological, Nephrological, and Andrological Sciences
|December 1, 1991
PubMed
Summary

Abdomino-pelvic surgeries can lead to ejaculatory dysfunction or impotence. Preserving specific nerves during pelvic cancer surgery is crucial for maintaining erectile function, while lymph node dissection for testicular cancer requires careful consideration of ejaculation preservation.

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Major surgery (radical cystectomy with urethrectomy) in a patient with von Willebrand's disease type I. Reliability and limits of hemocoagulative tests.

Minerva urologica e nefrologica = The Italian journal of urology and nephrology·1999

Area of Science:

  • Urology
  • Oncology
  • Reproductive Medicine

Context:

  • Abdomino-pelvic surgical procedures, particularly for cancers, pose risks to male reproductive functions.
  • Retroperitoneal lymph node dissection for testicular cancer and pelvic surgeries for other cancers are common procedures.
  • Ejaculatory failure and erectile impotence are significant potential side effects impacting quality of life.

Purpose:

  • To highlight the risk of ejaculatory failure and impotence following specific abdomino-pelvic surgeries.
  • To emphasize the importance of nerve sparing techniques in pelvic cancer surgery.
  • To underscore the need for pre-operative seminal fluid evaluation for fertility preservation.

Summary:

  • Bilateral retroperitoneal lymph node dissection for testicular cancer frequently results in ejaculatory loss.

Related Experiment Videos

  • Monolateral procedures for low-stage testicular cancer generally preserve ejaculation.
  • Damage to the 'nervi erigentes' during pelvic cancer surgery can cause erectile impotence, necessitating careful surgical technique.
  • Pre-operative assessment of seminal fluid is vital for patients considering cryopreservation or artificial insemination.

    • Impact:

    • Informs patients and clinicians about potential sexual dysfunction after specific cancer surgeries.
    • Promotes surgical strategies that balance oncologic outcomes with preservation of reproductive function.
    • Encourages proactive fertility planning for cancer patients undergoing high-risk procedures.