The case for conservative surgical management of the ilioinguinal region after inadequate orchiectomy.

We describe 16 patients who underwent conservative surgical treatment of the ilioinguinal region after transscrotal orchiectomy had demonstrated a non-seminomatous germ cell tumor. Treatment consisted of an en bloc partial scrotectomy and removal of the remaining spermatic cord, usually through 2 incisions. Residual disease was present in 3 patients (19%) but malignant disease has not recurred in any. It is concluded that an inguinal lymphadenectomy is not warranted routinely in such patients.