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Responsiveness to change over time was acceptable. Peer Review reports. Treatment option encompass orchiectomy, retroperitoneal lymph node dissection with nerve sparing [ 6 ], chemotherapy with carboplatin in early stage [ 7 ] and Bleomycin, Etoposide and Cisplatin for advanced disease [ 8 ], as well as active surveillance [ 5 ].

Treatment strategies, although contributing to low mortality, are associated with various acute and long-term side effects [ 9 ]. These include gastrointestinal symptoms, peripheral neuropathy, Raynaud-like symptoms, hearing loss, tinnitus, heightened levels of fatigue, anxiety, cancer-related distress, sexual dysfunction, changes in body image and psychosocial problems [ 9 , 10 , 11 ].