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

Inclusion Criteria: * Participants undergoing radical orchiectomy for suspected testicular malignancy * Testicular malignancy can be germ cell tumor or non germ cell tumors, including paratesticular tumors as long as a radical orchiectomy is planned * Participants over 18 years of age who can provide informed consent * Participants not currently using opiates for another reason * Regional and metastatic patients are allowed, as long as participant does not require opiates for pain related to metastatic disease * No contraindication for participant to receive standardized medication pathway in the peri-operative period. Exclusion Criteria: * Clinical T4 disease * History of illicit substance abuse (including prior opioid abuse) except for marijuana * Participants who underwent chemotherapy or radiotherapy prior to orchiectomy * Opioid use within 1 month of study enrollment * Participants with large testis masses requiring skin incision larger than 8 cm in size. * Participants with large testis masses requiring orchiectomy through an incision other than the standard transverse inguinal incision (i.e. hockey stick incision, vertical incision)