What should I expect after RPLND surgery for testicular cancer?

Johns Hopkins Medicine

Immediately after your laparoscopic retroperitoneal lymph node dissection (RPLND), you will be taken to the recovery room and transferred to your hospital room once you are fully awake and your vital signs are stable. Below are some of the issues common to patients who have undergone this minimally invasive surgery.

Post Operative Pain – Pain medication can be controlled and delivered by the patient via an intravenous catheter or by injection (pain shot) administered by the nursing staff.

Nausea – You may experience some nausea related to the anesthesia or pain medication.

Urinary Catheter – You can expect to have a urinary catheter draining your bladder (which is placed in the operating room while you are asleep) for approximately one day after the surgery.

Diet – Only ice chips and small sips of water are allowed the first day. After that, you may resume your normal diet.

Fatigue – Fatigue is common and should start to subside in a few weeks following surgery.

Incentive Spirometry – You will be expected to do some very simple breathing exercises to help prevent respiratory infections by using an incentive spirometry device. Coughing and deep breathing helps prevent pneumonia and other pulmonary complications.

Ambulation - On the day after surgery it is very important to get out of bed and begin walking with the supervision to help prevent blood clots from forming in your legs. You can expect to have SCD's (sequential compression devices) along with tight white stockings on your legs to prevent blood clots from forming in your legs.

Hospital Stay - The length of hospital stay for most patients is for approximately 1-2 days.

Constipation/Gas Cramps - You may experience sluggish bowels for several days following surgery as a result of the anesthesia. Suppositories and stool softeners are usually given to help with this problem.

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.