Role of Retroperitoneal Lymph Node Dissection in Clinical Stage IIA/B Seminoma: Recommendations from the European Association of Urology Guidelines Panel on Testicular Cancer.

Heidenreich, Axel; Patrikidou, Anna; Tandstad, Torgrim · Eur Urol · 2025

review · Level V

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Abstract

We summarize the evidence on nerve-sparing retroperitoneal lymph node dissection for clinical stage IIA/B seminoma. When performed by expert surgeons, this procedure offers a chemotherapy-free survival rate of 80-85% with low morbidity.

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