Reptroperitoneal lymph node dissection (RPLND) is associated with a risk of morbidity and ejaculatory dysfunction. Nerve-sparing RPLND shows promise in preserving ejaculation alongside oncological efficacy. Laparoscopic and robot-assisted modalities are feasible with good outcomes, highlighting the need for ongoing scientific research and refinement of surgical skills.
European urology focus. 2024 Jun 04 [Epub ahead of print]
Vincent Khor, Kenneth Chen, Lloyd Matthew Somasundram, Nathan Lawrentschuk
Department of Urology, Hospital Sultan Abdul Aziz Shah, Universiti Putra Malaysia, Selangor, Malaysia., Department of Urology, Singapore General Hospital, Singapore; Division of Surgery and Surgical Oncology, National Cancer Centre Singapore, Singapore. Electronic address: ., Monash University, Clayton Campus, Melbourne, Australia., Division of Cancer Surgery, Peter MacCallum Cancer Centre, Melbourne, Australia; EJ Whitten Prostate Cancer Research Centre, Melbourne, Australia; Department of Surgery (Urology), Royal Melbourne Hospital, Melbourne Victoria, Australia.