About this trial
This study aims to evaluate how retroperitoneal lymph node dissection (RPLND), a surgical treatment for testicular cancer, may affect urinary and sexual functions in men. RPLND involves the removal of lymph nodes from the abdominal area and is sometimes necessary in patients who are not eligible for chemotherapy or who have residual disease after chemotherapy. While this surgery is known to carry a risk of affecting ejaculation, its potential impact on other areas such as urination or erection is not well understood.
The study will prospectively follow adult men undergoing RPLND. It will assess changes in lower urinary tract symptoms, urine flow, ejaculation, erection, and overall quality of life before surgery and during follow-up visits up to 6 months after the operation. Patients will complete standardized questionnaires and undergo simple, non-invasive tests such as urine flow measurement.
By identifying how RPLND may influence urinary and sexual health, this study seeks to improve understanding of the full range of effects of this treatment. The findings may help clinicians better inform patients before surgery and support improved post-operative care.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adult male with testicular cancer undergoing retroperitoneal lymph node dissection (RPLND)
Disqualifiers
History of RPLND
Lack of consent
Trial population
Adult males with testicular cancer undergoing retroperitoneal lymph node dissection (RPLND)
Trial design
Cohort
Prospective
Treatments tested in this trial
Uroflowmetry and questionnaires
Diagnostic testUroflowmetry - urine flow assessment Questionnaires: IPSS, ICIQ-MLUTS, IIEF-5, MSHQ-EjD, EQ-5D-5L
Treatment groups
Trial outcomes
Primary outcomes
Change in maximal urine flow (Qmax) in uroflowmetry before and after RPLND surgery
Change in maximal urine flow (Qmax) in uroflowmetry before and after RPLND surgery
Change in post-void residual volume (PVR) before and after RPLND surgery
Change in post-void residual volume (PVR) before and after RPLND surgery
Change in total IPSS score before and after RPLND surgery
Patients will complete International Prostate Symptom Score (IPSS) questionnaire to assess urinary function before and after surgery
Change in ICIQ-MLUTS score before and after RPLND surgery
Patients will complete Incontinence Questionnaire - Male Lower Urinary Tract Symptoms - ICIQ-MLUTS questionnaire to assess urinary function before and after surgery
Secondary outcomes
Change in IIEF-5 questionnaire before and after RPLND surgery
Patients will complete International Index of Erectile Function - IIEF-5 questionnaire before and after surgery to assess erectile function
Change in MSHQ-EjD questionnaire before and after RPLND surgery
Patients will complete Male Sexual Health Questionnaire Ejaculatory Dysfunction - MSHQ-EjD questionnaire before and after surgery to assess erectile function
Sponsors and contacts
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