Rhabdomyosarcoma is the most common soft tissue sarcoma in childhood and 20 percent of Rhabdomyosarcoma in children arise in the urogenital. The paratesticular rhabdomyo-sarcoma is a highly malignant neoplasm with early invasion and metastases, which has retroperitoneal metastases in about half of the patient at time of dignosis. However, the survival rates have been improved greatly by using multimoaltherapy.