Preserving Sexual Function after Urologic Surgery in Men: How to preserve fertility and reduce the risk of testicular malignancy.

Recent changes in urological treatment, such as early orchiopexy and adolescent variococelectomy, can help to preserve fertility and reduce the risk of testicular malignancy. Nerve-sparing operations have been developed for cancer of the prostate, bladder, and testicle to prevent or reduce their sequelae of impotence and retrograde ejaculation. These new advances must be embraced with caution so as not to compromise patients' chances for curative treatment.