Aaron Bernotas' Battle with Post-RPLND Chylous Ascites and microTESE
Aaron Bernotas' Battle with Post-RPLND Chylous Ascites and microTESE
Episode 89
In this episode of It Takes Balls, pediatric anesthesiologist Aaron Bernotas shares his rollercoaster journey through testicular cancer - one that had fertility challenges, grueling treatment, and rare complications that pushed him to the brink.
Aaron opens up about discovering a lump, downplaying it at first, and ultimately undergoing surgery the day after his urologist confirmed it was suspicious for cancer. While the orchiectomy seemed routine, the aftermath was anything but. Shortly after, Aaron was diagnosed with azoospermia (no sperm), forcing him and his wife to pursue IVF with micro-TESE. Despite setbacks, they now have a daughter - one of two embryos that survived.
The episode dives into the emotional impact of facing cancer while juggling a demanding medical career and processing the blow of infertility. Aaron later faced recurrence, underwent three rounds of BEP chemotherapy, and then an RPLND surgery. But what followed was a rare complication: chylous ascites, a buildup of lymphatic fluid in the abdomen. After months of procedures - including multiple drainings, gluing, a second exploratory surgery, and the placement of a Denver shunt - his condition finally resolved over 18 months after his initial diagnosis.
Aaron reflects on the brutal physical toll of this journey, the unwavering support from his wife and family, and the resilience it took to keep showing up.
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