Is infertility a risk for RPLND of testicular cancer?

Johns Hopkins Medicine

Although laparoscopic retroperitoneal lymph node dissection (RPLND) has proven to be safe, as in any surgical procedure there are risks and potential complications. The safety and complication rates are similar when compared to open surgery. Potential risks include retrograde ejaculation and infertility.

Occasionally nerves that control ejaculation may be injured during surgery. This may result in retrograde ejaculation causing sperm to be expelled into the bladder instead of out the tip of the penis. This condition is not dangerous and does not affect your ability to have erections or an orgasm. It could, however, affect future fertility.

Continue Learning about Testicular Cancer

Testicular Cancer

Highly treatable, testicular cancer is one of the most curable types of cancer.Even when this rare cancer spreads to nearby lymph nodes, you have a 99% chance of surviving, and treatment is so effective that you have a 1 in 5,000 ...

chance of dying from this disease. Most testicular cancers begin with the abnormal production of the cells that produce immature sperm. Testicular cancer typically only affects one of the testes. Although most risk factors are not fully understood, you are several more times likely to develop this cancer if you have an undescended testicle. This cancer also tends to be more common among 15- to 34-year old males. See your doctor if you notice a mass in one of the testicles, feel fatigued or have an ache in the abdomen or groin. Surgical removal of the affected testicle a procedure called radical inguinal orchiectomy is the principal treatment to cure this cancer.

Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.