Because 90% of solid testicular masses are malignant, the patient was taken to the operating room for radical orchiectomy. An incision was made over the inguinal canal.
The external oblique aponeurosis was opened, the ilioinguinal nerve mobilized out of the way (see open hernia repair), and the spermatic cord isolated at the pubic tubercle.
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Cremaster was separated from the floor of the inguinal canal and the cord was encircled and compressed with a Penrose drain high at the deep inguinal ring.
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