Summary: Ejaculation is invariably disturbed in patients after retroperitoneal lymphadenectomy (RL) due to the damage of sympatic nervous system. Following up 28 patients after RL operated for stage II non-seminomatous testicular tumors we observed spontaneous recorvery of ejaculation in 14 patients (50%) during first year. Remaining 14 patients were treated by sympatomimetics and polyvitaminous drugs. Such treatment resulted in substantial improvement of sexual functions in 4 patients without any complication of therapy. In patients after RL failing to recover their ejaculation function during first year the treatment by sympatomimetics and vitamines still may be succesful.
The influence of retroperitoneal lymph node dissection in the therapy of testicular cancer on ejaculation and fertility
