Patient Reported Experiences With Sparing External Oblique Fascia Vs Standard Inguinal Orchiectomy

This study is comparing two surgical techniques for removing a testicle when testicular cancer is suspected — a standard approach versus one that spares a specific layer of tissue called the external oblique fascia. Researchers want to know if the newer technique reduces pain and improves recovery, as reported by patients themselves. **You may be eligible if...** - You are 18 years or older - You are scheduled to have a radical orchiectomy (surgical removal of a testicle) because testicular cancer is suspected - Your tumor can be a germ cell tumor or another testicular cancer type, including tumors in surrounding tissue - You are not currently using opioid pain medications for another reason **You may NOT be eligible if...** - You are currently using opioid painkillers for a separate condition - You need opioids for pain related to cancer that has spread - You have a contraindication (medical reason to avoid) the standard pain medication protocol used in this study Talk to your doctor to see if this trial is right for you.