Testicular Issues: When to Seek Medical Attention - Urology

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It's important to take any changes in your testicular health seriously, especially when it involves bleeding or the appearance of new growths. Based on your description, you have noticed small, deep red, raised lesions on your testicles for about a year, and more recently, you experienced a significant injury to your right testicle that resulted in bleeding.
The small red lesions you mentioned could potentially be a variety of benign conditions, such as seborrheic keratosis, cherry angiomas, or other dermatological issues. However, without a proper examination, it is difficult to determine their exact nature. The fact that they have been present for a year without causing pain or discomfort is somewhat reassuring, but it does not eliminate the need for a medical evaluation.

The recent incident of a 0.5 cm fissure on your right testicle that bled significantly is concerning. Even though you managed to stop the bleeding and the wound appears to be healing well, any injury to the testicles should be evaluated by a healthcare professional. Testicular injuries can lead to complications such as hematomas (blood collections), infections, or even testicular torsion, which is a surgical emergency.
Here are some reasons why you should seek medical attention:
1. Bleeding: Any significant bleeding from the testicles should be evaluated. Although the bleeding stopped, it is essential to ensure that there is no underlying injury or damage to the testicular tissue.

2. Changes in Appearance: The presence of new lesions or changes in the skin of the testicles can indicate various conditions, some of which may require treatment. A healthcare provider can perform a physical examination and may recommend further testing, such as a biopsy if necessary.

3. Pain or Discomfort: While you mentioned that there is no pain associated with the lesions, the recent injury could lead to pain or discomfort that may develop later. Monitoring for any changes in symptoms is crucial.

4. Infection Risk: Any break in the skin can lead to an increased risk of infection. Signs of infection include redness, swelling, warmth, or discharge from the wound.

5. Peace of Mind: Consulting a healthcare professional can provide you with peace of mind. They can assess your symptoms, provide a diagnosis, and recommend appropriate treatment if necessary.

In conclusion, I strongly recommend that you seek medical attention as soon as possible. A urologist or your primary care physician can perform a thorough examination and determine the best course of action. Early intervention can prevent potential complications and ensure that any underlying issues are addressed promptly. Your health is important, and it’s always better to err on the side of caution when it comes to changes in your reproductive health.