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These tumors have a high rate of dissemination to the draining lymph nodes (as determined by sentinel lymph node biopsy), but typically have benign biologic behavior without clinical recurrence [84, 85]

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However, direct validation of penile neural injury in human varicocele-associated ED remains limited, and future studies should clarify whether neural impairment is a primary contributor or a secondary consequence of inflammatory vascular and structural damage

[DOI] [PubMed] [Google Scholar] 156.Lombard KA, Olson AL, Nelson SE, Rebouche CJ

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