Re: Safety and Early Oncologic Effectiveness of Primary Robotic Retroperitoneal Lymph Node Dissection for Nonseminomatous Germ Cell Testicular Cancer

Re: Safety and Early Oncologic Effectiveness of Primary Robotic Retroperitoneal Lymph Node Dissection for Nonseminomatous Germ Cell Testicular Cancer

MALE AND FEMALE SEXUAL FUNCTION AND DYSFUNCTION; ANDROLOGY lymphadenectomy, and ultrasound was used to detect lymphoceles at 10 and 90 days postopera...

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MALE AND FEMALE SEXUAL FUNCTION AND DYSFUNCTION; ANDROLOGY

lymphadenectomy, and ultrasound was used to detect lymphoceles at 10 and 90 days postoperatively. There were no differences in incidental lymphocele identification (47% vs 48%), clinically symptomatic lymphocele (4% vs 5%), location or volume between the groups. Neither technique is perfect. Jeffrey A. Cadeddu, MD

Suggested Reading Musch M, Klevecka V, Roggenbuck U et al: Complications of pelvic lymphadenectomy in 1,380 patients undergoing radical retropubic prostatectomy between 1993 and 2006. J Urol 2008; 179: 923.

Re: Safety and Early Oncologic Effectiveness of Primary Robotic Retroperitoneal Lymph Node Dissection for Nonseminomatous Germ Cell Testicular Cancer S. M. Pearce, S. Golan, M. A. Gorin, A. N. Luckenbaugh, S. B. Williams, J. F. Ward, J. S. Montgomery, K. S. Hafez, A. Z. Weizer, P. M. Pierorazio, M. E. Allaf and S. E. Eggener Section of Urology, Department of Surgery, University of Chicago, Chicago, Illinois, and Departments of Urology, Johns Hopkins School of Medicine, Baltimore, Maryland, University of Michigan Health System, Ann Arbor, Michigan, and University of Texas MD Anderson Cancer Center, Houston, Texas Eur Urol 2017; 71: 476e482. doi: 10.1016/j.eururo.2016.05.017

Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/27234998 Editorial Comment: In this multi-institutional study 47 patients with clinical stage I to IIA nonseminomatous germ cell tumor underwent robotic retroperitoneal lymphadenectomy using conventional modified templates. As expected, the morbidity profile and outcomes are comparable to those reported during the last 20 years with laparoscopic retroperitoneal lymphadenectomy. Given the advance of robotics, it is likely that this approach will supplant laparoscopy for clinical stage I to IIA nonseminomatous germ cell tumors while offering decreased morbidity compared to open surgery. Jeffrey A. Cadeddu, MD

Suggested Reading Gerber GS, Bissada NK, Hulbert JC et al: Laparoscopic retroperitoneal lymphadenectomy: multi-institutional analysis. J Urol 1994; 152: 1188.

Male and Female Sexual Function and Dysfunction; Andrology Re: Sexual Function after Cervical Spine Surgery: Independent Predictors of Functional Impairment M. K. Keefe, C. C. Zygourakis, A. A. Theologis, E. Canepa, J. D. Shaw, L. H. Goldman, S. Burch, S. Berven, D. Chou, B. Tay, P. Mummaneni, V. Deviren and C. P. Ames Departments of Orthopedic Surgery and Neurological Surgery, University of California, San Francisco, California, and Department of Radiology, Montefiore Medical Center, Bronx, New York J Clin Neurosci 2017; 36: 94e101. doi: 10.1016/j.jocn.2016.10.017

Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/27825608 Editorial Comment: This study aimed to assess sexual function (SF) after cervical spine surgery and to identify predictors of SF. This single center retrospective study evaluated SF in adults who underwent cervical spine surgery between 2007 and 2012. Predictor variables included demographics, medical/surgical history, operative information, health related quality of life measures (Neck Disability Index and SF-12Ô), validated SF surveys (Female Sexual Function Index and Brief Male Sexual Function Inventory [BSFI]) and a study specific SF questionnaire. A total of 31 men and 28 women with a mean  SD age of 56  8.4 years had significantly lower SF scores compared to age

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