So my CT scan that I was hoping would come back all clear, came back not so clear. My lab results show that the chemotherapy worked in killing all the cancer, it left behind some benign tumors on some lymph nodes about the level of my left kidney. This was a surprise to my oncologist, who didn’t think it would get that far in 4 months and after 3 months of chemotherapy. Matter of fact, he was so elated about the lab results he called me a day early when I was supposed to call him just to have a bit of good news. He recommended I speak to a professional specialising in Advanced Urology so the following day I made sure I booked an appointment.
So now, I have an appointment on September 22nd with Dr. Richard Foster in Indianapolis. Dr Foster is a specialist in urology in the Testis Cancer Program at the IU Simon Cancer Center (the same people who treated Lance Armstrong). He is considered THE expert in the surgical management of testicular cancer.
The surgery I will most likely be having is called an RPLND, or a Retroperitoneal Lymph Node Dissection. This is a 6 hour procedure where they open up the abdomen along the midline, lift out the intestines, and remove the fatty tissue behind them that contains the lymph node packets. I will have to be staying overnight for a few days there at IU. I’ve only been there one time, dropping off a patient when I started as a paramedic. There is a 30% chance of risk on all kinds of abdominal complications including infertility, but they use what’s called a “nerve sparring” technique where they push the nerves out of the way. That should keep damage to the nerves that control my man parts to a minimum.
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This is a video by a Canadian that had an RPLND showing his scar and talking about one possible complication post-op.