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What is Which of the following is a known complication of modified RPLND (Retroperitoneal Lymphnode Dissection) done for non-seminomatous germ cell tumour of testis? and explain in detail?
Retroperitoneal Lymph Node Dissection (RPLND) RPLND has been the preferred treatment of low-stage NSGCTs A thoracoabdominal or midline Transabdominal approach may be used All nodal tissue between the ureters from the renal vessels to the bifurcation of the common iliac vessels is removed RPLND is associated with significant morbidity, especially with respect to feility in young men. With a standard RPLND, sympathetic nerve fibers are disrupted, resulting in loss of seminal emission Ref: Smith 18th edition Pgno: 385