Paternity in men with stage I testis tumors on surveillance. Academic Article uri icon

Overview

abstract

  • PURPOSE: We report long-term paternity in men with stage I testis tumors who were managed initially by surveillance. PATIENTS AND METHODS: One hundred five patients with clinical stage I nonseminomatous germ cell tumors of the testis were entered on a surveillance protocol and followed up for more than 10 years. Actual fertility potential was assessed by pregnancy. RESULTS: Of the 105 patients, 41 (39%) have fathered children, which includes 36 of 78 (46%) patients while on active surveillance and five of 27 (19%) patients after treatment for relapse. Of 63 couples who attempted a pregnancy on surveillance or were presumed capable of impregnation (whether they tried or not), 41 (65%) were successful. CONCLUSION: These results show that the majority of men with stage I testis tumor who are on surveillance after orchiectomy, have a suitable partner, and attempt impregnation achieve a successful pregnancy. Pregnancy rates appear to be less than reported in men who have a nerve-sparing retroperitoneal lymph node dissection (RPLND) because more patients on surveillance require treatment for relapse, which reduces their chances for pregnancy.

publication date

  • February 1, 1998

Research

keywords

  • Fertility
  • Germinoma
  • Testicular Neoplasms

Identity

Scopus Document Identifier

  • 0031943432

Digital Object Identifier (DOI)

  • 10.1200/JCO.1998.16.2.733

PubMed ID

  • 9469364

Additional Document Info

volume

  • 16

issue

  • 2