Purpose: Metastatic testis cancer in the retroperitoneum presents a technical challenge to
urologists in the primary and post-chemotherapy settings. Where possible, bilateral nerve
sparing retroperitoneal lymph node dissection should be performed in an effort to preserve
ejaculatory function. However, this is often difficult to achieve, given the complex
neurovascular anatomy. We performed what is to our knowledge the first comprehensive
examination of the anatomical relationships between the sympathetic nerves of the aortic …