Nerve-sparing technique for retroperitoneal lymphadenectomy in testis cancer.

The technique of retroperitoneal lymphadenectomy has been modified by measures to identify and preserve the postganglionic sympathetic fibers and their ganglia and thus preserve antegrade ejaculation. Thorough bilateral lymphadenectomy can still be performed, but this technique avoids the principal morbidity of this operation except in some patients with bulky disease.