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A novel use of the testis after radical inguinal lymphadenectomy

The established treatment of choice for penile cancer metastatic to inguinal lymph nodes is radical lymphadenectomy of the lymph node group in the inguinal and femoral triangle region [1]. The potential complications of this procedure include wound breakdown, haematoma formation and lymph collection. A particular concern in these cases is exposure of the femoral vessels, which can (rarely) lead to catastrophic secondary haemorrhage. Several techniques have been described to provide cover over the femoral vessels after inguinal lymphadenectomy for penile cancer, of which the sartorius muscle ̄ap [2] is widely accepted as the method of choice. In some patients the sartorius muscle is poorly developed or atrophic, or it is not technically possible to provide adequate cover over the appropriate area. Herein we describe a simple technique, using the patient's testis, that we have used successfully in three patients after radical inguinal lymphadenectomy.