MODIFIED RETROPERITONEAL LYMPHADENECTOMY FOR NONSEMINOMATOUS TESTICULAR-TUMORS IN STAGES-I, STAGES-IIA AND STAGES-IIB

In 60 patients with non-seminomatous testicular germ cell tumours in c linical stages I, II a and II b inguinal orchiectomy was performed as primary treatment, followed by modified retroperitoneal lymphadenectom y (RLA). In stage II disease chemotherapy was given in addition. After a follow-up period of at least 24 months only 5 % of the patients sho wed progression of disease. Normal ejaculatory function was preserved in 88 % of our patients. Modified RLA seems to be a safe procedure wit h an acceptably low rate of complications not only in stage I disease, but also in metastatic stages II a and II b.