Testicular cancer metastasizes in a predictable pattern, and lymph nodes in the retroperitoneum are typically the first place it lands.
[2] In seminomas, another form of testicular cancer, radiation therapy is generally preferred to the invasive RPLND procedure.
A less invasive procedure (L-RPLND) can be performed laparoscopically, but this is more costly and time-consuming, and requires specialized equipment that not every hospital has.
[6] Potential complications of RPLND include damage to the sympathetic nerves running parallel to the spinal cord, which can result in retrograde ejaculation and infertility.
[7] Contrary to popular belief, erectile function is not compromised by RPLND because the nerves responsible for erection are located elsewhere.