{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T11:33:37Z","timestamp":1791977617907,"version":"4.4.0"},"reference-count":17,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2006,7,19]],"date-time":"2006-07-19T00:00:00Z","timestamp":1153267200000},"content-version":"vor","delay-in-days":6592,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[1988,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Between 1978 and 1982 the sexual functions of 54 patients with a nonseminomatous testicular tumor stage II or III were assessed before and after treatment with surgery and combination chemotherapy. Two years after completing therapy 54% of the patients experienced sexual functional disorders. Greatly reduced or absent antegrade ejaculation was reported by 26 patients; 18 of them had been treated with more or less extensive retroperitoneal lymph node dissection, whereas 8 had not. This means that the chemotherapy might be responsible for ejaculatory disorders in 30% of the patients. Only two patients reported a change in the quality of erection; seven patients experienced a decidedly diminished libido, and five patients noticed their orgasm had changed in a negative sense. The appearance of the contralateral testis changed in 21 patients, who showed \u201catrophy\u201d of this testis. The findings of this study indicate that sexual and ejaculatory disorders in particular are quite common in men treated for a disseminated nonseminomatous testicular tumor. Many of these disorders seem to be owing to causes other than surgical intervention.<\/jats:p>","DOI":"10.1002\/jso.2930380310","type":"journal-article","created":{"date-parts":[[2007,2,20]],"date-time":"2007-02-20T11:27:22Z","timestamp":1171970842000},"page":"182-186","source":"Crossref","is-referenced-by-count":25,"title":["Sexual function after surgery and combination chemotherapy in men with disseminated nonseminomatous testicular cancer"],"prefix":"10.1002","volume":"38","author":[{"given":"J. M.","family":"Nijman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. Schraffordt","family":"Koops","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Oldhoff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Kremer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. T. H.","family":"Sleijfer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2006,7,19]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-87-3-293"},{"key":"e_1_2_1_3_2","unstructured":"StoterG SleijferDTh VendrikCPJ Schraffordt KoopsH StruyvenbergA OosteromATvan BrouwersTHM PinedoHM: Combination chemotherapy with cis\u2010diamminedichloroplatinum vinblastine and bleomycin in advanced testicular non\u2010seminoma.Lancet941\u2013945 1979."},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/mpo.2950120403"},{"key":"e_1_2_1_5_2","doi-asserted-by":"crossref","unstructured":"NijmanJM Schraffordt KoopsH KremerJ SleijferDTh: Gonadal function after surgery and chemotherapy in men with Stage II and III nonseminomatous testicular tumors.J Clin Oncol in press 1986.","DOI":"10.1200\/JCO.1987.5.4.651"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198109243051303"},{"key":"e_1_2_1_7_2","unstructured":"WobbesTh:Non\u2010seminomatous germ cell tumors of the testis. 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