[Surgical modalities in germinal tumors of the testicle]

Radical orchidectomy via a kelotomy incision in the first diagnostic and therapeutic procedure in germ cell tumours of the testis. The traditional extensive bilateral lymph node dissection responsible for ejaculation failure and significant complications has now been replaced by limited lymphadenectomies using nerve-sparing and nerve-preserving techniques with a simpler post-operative course. The resection of residual masses after chemotherapy should be performed as a true lymphadenectomy and is associated with certain difficulties, particularly in advanced seminomas.