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Your sex life can be affected by surgery to remove the lymph nodes at the back of your abdomen:

  • RPLND can cause your semen and sperm to go backward into your bladder instead of coming out of your penis (retrograde ejaculation). Your orgasms will feel different because they will be dry. Medication helps sometimes, but you might not be able to have children by natural sexual intercourse.
  • RPLND can cause nerve damage that can affect the ability to have erections.

Before you have your lymph nodes removed, talk to your surgeon about other possible side effects.