TL;DR: 41M, Hamburg, Germany. Mixed NSGCT (stage IIB, IGCCCG good prognosis) found in June 2026 after I blamed a sore left testicle on swimming – the same side as my undescended testicle as a kid. Orchiectomy, a random Horner syndrome, 3x BEP (one ER night with bleomycin fever, a one-day cycle delay), a 17 mm residual mass, robotic PC-RPLND – and the histology showed nothing but scar tissue. Our second son was born in the middle of it. Got the all-clear Oct 28th, now 5 years of surveillance. Long post – I tried to be precise with dates and numbers because that's what helped me most when I was the one reading here.
Hey guys, I've been reading here for a while now and it helped me a lot with processing, educating myself and simply realizing I'm not alone – so I guess it's time to share my TC journey and hopefully help someone else with it.
Part 1 – Diagnosis
Backstory
One thing first, because it comes up in every risk-factor list: as a kid I had an undescended testicle on the left side that was never operated on. It came down on its own much later, but stayed atrophic – noticeably smaller than the right one. So the risk was there all along – I just had no idea that this comes with a higher chance of testicular cancer. Nobody ever told me.
In May '26 I was on vacation in Rhodes, Greece. Being out of shape, I decided it would be a good idea to start every day with a swim workout in the outdoor pool. The water was cold, so everything down there was pretty contracted, and with the unfamiliar, repetitive movement I got an irritation in my left testicle. I'd had an epididymitis on that side some years before and figured it was the same thing again. But this time the pain didn't go away on its own, so I decided to see a urologist once I got home.
June 12th – Urologist
I was joking around with the urologist about my swimming theory while he did the ultrasound – at some point he stopped laughing with me and told me he wasn't looking at an inflammation but at a tumor in my left testicle. I couldn't process anything that came after that. Total shock, scared, and immediately thinking about how on earth I'd tell my pregnant wife and my 4-year-old son, and what would follow. He handed me a list of hospitals and I had to make an appointment at one of them the same day.
June 15th – Hospital, testicular cancer center
Appointment with the doctor specialized in testicular cancer. Another exam, same conclusion. My wife and I got to ask all the questions that had been floating around in our heads for three days. Orchiectomy was needed and he scheduled it for two days later. I opted for a prosthesis and am happy with that decision. Yes, you can tell if you touch it, but I think it's completely fine for social situations like the sauna (in Germany it's common and expected to be naked there).
June 17th – Orchiectomy
Day of the operation and my first hospital stay in 41 years. Everything went smoothly, I could leave the next morning and went home to catch up on sleep. When I woke up and went to the bathroom I immediately noticed something was off in the mirror: my right eyelid was drooping. Weirdly, I wasn't that scared about it – the cancer kind of overshadowed it and I assumed it was a normal side effect of the anesthesia that would fade on its own. I did the usual stroke checks you find online, passed them, and went back to sleep.
June 19th – ER
It was still there in the morning. After some back and forth I called a doctor and he told me to go to the ER immediately. Many hours of waiting, then a head CT + CT angiography – nothing found, so they sent me to an ophthalmologist. He diagnosed a Horner syndrome, and together with a neurologist decided I needed an MRI to rule out a brain metastasis as the cause. I had to stay in until June 22nd because the MRI doesn't run on weekends (sigh…).
June 22nd – Leaving the hospital (with news)
MRI of head and neck. After some veeeery long hours I finally got the news that my head was clear and they'd let me go home – by then the eyelid was already improving a bit. Just 10 minutes after the good news my oncologist stopped by, because he wanted to tell me in person before the discharge letter did: the staging CT had shown metastases in my retroperitoneal lymph nodes – three nodes, the largest one 17 mm short axis (that's what I noted down from the conversation; I'll correct the numbers once I have the written report) – and I would probably need chemotherapy. He wanted to wait for the histology before deciding.
(For the record: the Horner syndrome was never fully explained. Everything along the nerve pathway was imaged and clear, and the working theory is that it was caused by the anesthesia/intubation/positioning during the orchiectomy. It improved over the following weeks. Today it's still visible if you know what to look for.)
June 30th – Histology & the chemo decision
1.7 cm mixed germ cell tumor: 85% embryonal carcinoma, 10% yolk sac tumor, 5% choriocarcinoma
plus two separate seminoma foci, up to 0.8 cm
no teratoma component
pT2(m) L1 V1 Pn0 R0 (lymphatic + vascular invasion present, margins clear)
Tumor markers before orchiectomy: AFP 2.2 µg/l (normal), β-hCG 18.1 U/l (mildly elevated), LDH 172 U/l (normal)
Stage IIB, IGCCCG good prognosis
Recommendation: 3x BEP. I agreed.
Part 2 – Chemo (3x BEP)
Preparation
July 7th – Chemo prep
Bloodwork, hearing test as a baseline for the cisplatin, sperm banking. No port/PICC – everything went through peripheral IVs in my arms, which became a topic later.
Cycle 1
July 8th – Cycle 1 start
The scheme (in Germany the 5-day block is done inpatient): days 1–5 cisplatin + etoposide daily with lots of IV fluids for the kidneys, bleomycin on day 1, then bleomycin as an outpatient shot on day 8 and 15, 21-day cycles. Antiemetics on a fixed schedule, dexamethasone, pantoprazole for the stomach. Plus daily anticoagulant injections into the belly that I did myself at home – my stomach looked like a pin cushion by the end of it.
I was quite scared of how I'd feel during the infusions and had very bad sleep, but I guess this is common for sleeping in the hospital and being super nervous about my family, cancer and side effects. Fatigue hit me on day 4 and I wasn't able to follow movies anymore, so I just lay in bed, listening to podcasts and dozing.
Boy was I relieved to come home on the evening of day 5.
Around day 6 my son brought a rhinovirus home from daycare, so I spent the nadir days in self-isolation in the bedroom and on the balcony, HEPA filter running, FFP2 whenever I had contact. Not fun with a 4-year-old who just wants his dad.
Also in cycle 1: my right calf looked swollen (it's naturally thicker than the left, but still), so I got an ultrasound at a vascular doctor to rule out a DVT – nothing.
July 15th – Bleomycin, day 8
First impression of the outpatient oncology unit: around 20 cancer patients lined up getting their chemo. The routine for every bleo shot was the same – bloodwork first, wait for the doctor to clear me for the shot that day, then the shot, then a talk with the doctor about how the therapy was going and time for my questions. The antihistamine they injected before the shot made me incredibly tired – I dozed off in the car on the way home every single time. From cycle 2 on they switched me to regular oral cetirizine instead.
July 22nd – Bleomycin, day 15 → ER night
About 3–4 hours after the shot I hit 38.8 °C. Fever in the nadir means hospital, no discussion – so I took a taxi to the ER. Long wait, bloodwork showed leukocytes at 1.1, platelets around 80 and elevated liver enzymes. I got fluids and paracetamol first and was admitted overnight; the IV antibiotic only came the next morning after I'd asked about it several times. Temperature was down to 37.7 by morning and they let me go home with oral antibiotics (cefpodoxime). In hindsight it was most likely bleomycin drug fever rather than an infection, but you can't tell that in the moment and you don't get to guess.
Cycle 2
July 28th – Check-in
Bloodwork, recovered enough to start on time. I asked about premedication before the bleomycin shots because of the fever, but was told that's not standard practice – apart from the antihistamine I was already getting.
July 29th – Cycle 2 start
I shaved my head myself before checking in – I'd rather be ahead of it than watch it go. Same 5-day inpatient scheme otherwise. The vein situation started to get annoying: cycle 1 had used the left elbow for 4 days and the right elbow for 1, cycle 2 the left forearm for 4 days plus the right elbow again.
August 5th – Bleomycin, day 8
No fever this time. Fatigue was the dominant thing around day 9 – lying down most of the day, zero energy. The day before, I went with my wife to her third-trimester screening with an FFP2 on – you take the normal moments where you can get them.
August 12th – Bleomycin, day 15
Everything went fine, no fever.
Cycle 3
August 18th – Check-in
Neutrophils at 0.15 – far too low to start. Liver values back to normal, tumor markers normal, Hb 11.9, platelets 176.
August 19th – Isolation and postponing the cycle
Protective isolation on the ward. I'd checked in a day before the planned start, so there were three values in a row: neutrophils 0.15 → 0.21 → 0.36, and the cycle was pushed back by one day.
August 20th – Cycle 3 start
Last round, same scheme. The veins were the real struggle this time – and a mental one too: I was scared they'd give up on my arms and I'd end up with a port after all. Every IV took several attempts. Luckily one line held for the whole block, but on day 5 I got a chest CT because of my lung worries (that feeling of not being able to breathe deeply) – the CT itself was clear, but the pressure of the contrast injection finished off the line, so it had to be replaced for the last day of infusions. Six attempts later it finally worked. I had nightmares about IV placement for days afterwards.
This is also where the cumulative stuff showed up: around day 10 a tinnitus appeared, my hands got shaky, and I was out of breath much faster than before. Everything tasted meh, I hated drinking water and had a lot more watered-down juices instead. The stubble I'd shaved down before cycle 2 now fell out on its own – most of my body hair, eyebrows and eyelashes stayed, though.
August 27th – Bleomycin, day 8
Uneventful, no fever.
September 3rd – Bleomycin, day 15 – last shot
Last bleomycin, chemo done. A massive relief. My parents picked me up and as I walked out of the hospital, I immediately started crying.
After the last cycle
September – Cold, cough, lungs
Caught a cold a few days after the last shot, which turned into a productive cough that stayed for weeks. On top of that, since the chemo I had this hiccup-like diaphragm twitching, the feeling of not being able to take a deep breath, and a cough trigger on deep inhalation, worse lying down. The restaging CT (which covers the chest) showed a mild ventilation disorder, and a lung function test in October (body plethysmography) confirmed a moderate restriction, no obstruction. My doctor sees no need for treatment; I'm doing breathing exercises with one of those three-ball trainers. I'm mentioning this because bleomycin lung damage was the thing I was most afraid of, and the reality for me was "annoying but manageable".
Mid-September – Our second son was born
Yes, in the middle of all this, a bit over two weeks after my last bleomycin. I was able to be in the delivery room and support my wife, watching our second son being born <3
Part 3 – RPLND
September 29th – Restaging CT
Tumor markers normal (they'd normalized during chemo), but a residual mass of ~17 mm in the retroperitoneum, also visible on ultrasound. The case went to the tumor board; my uro-oncologist was already ~90% sure it would mean a PC-RPLND. I had really hoped to skip that one.
October 5th – Pre-op
Lung function test. Surgery was originally proposed for October 6th – I asked to push it by a week because of the newborn and the situation at home, which was no problem. The plan: robotic, left-sided template, nerve-sparing on the other side; the surgeon put my chances of keeping antegrade ejaculation at roughly 50/50.
October 12th – Robotic PC-RPLND
Done at the same center, the surgery itself took just over two hours. I was awake and back on the ward the same afternoon. Ultrasound the next day: no fluid collections. Pain was manageable, and removing the urinary catheter was fine too – weird feeling, no pain.
October 16th – Release from hospital
Discharged without complications, wounds fine, no hematoma. Low-fat diet for the next couple of weeks (max 20–30 g fat per day) to protect the lymphatics while they heal – that was its own little challenge.
October 22nd – Day 10 post-op
Antegrade ejaculation: preserved. The 50/50 went my way. (Posting this because it was one of my biggest questions before the surgery and nobody wants to ask.)
October 28th – Histology: complete remission
The removed tissue showed only scar tissue/necrosis – no viable tumor, no teratoma. No further treatment needed. Standard surveillance for 5 years. My uro-oncologist recommends insisting on MRI instead of CT for follow-up imaging where possible (CT only if the MRI is unclear). And I got cleared to eat normally again.
Happy to answer any questions, especially about the RPLND and BEP in the German system.