Discomfort in the Right Testicle: Causes and Concerns - Urology

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There is a dull sensation in the right testicle, but it is not painful?


Hello doctor, about four days ago, I accidentally bumped into the corner of a table while moving some items.
Since then, I've felt a dull sensation in my right testicle, but there is no pain.
It doesn't hurt when I touch it, and it doesn't appear swollen, but the dull feeling often makes me feel the urge to have a bowel movement.
Is this a normal phenomenon?

Niming, 20~29 year old female. Ask Date: 2017/08/21

Dr. Du Shixi reply Urology


Hello: If you have been feeling unwell for several days, it is likely that there is an issue, which could be a muscle strain.
If there are problems with your urine, it may also indicate the possibility of kidney stones.
Wishing you good health.

Reply Date: 2017/08/21

More Info


Experiencing discomfort in the right testicle, especially after an injury, can be concerning and warrants careful consideration. From your description, it seems that you sustained a minor trauma to the area, which can lead to various sensations, including the feeling of pressure or discomfort. While you mentioned that there is no pain, swelling, or visible abnormalities, the persistent sensation of discomfort and the urge to urinate can be indicative of a few potential issues.

Firstly, it is important to understand that the testicles are sensitive organs, and any trauma can lead to temporary changes in sensation. The discomfort you are feeling could be a result of minor bruising or inflammation in the area, which may not always present with visible signs. The testicles are also closely linked to the abdominal cavity, and sometimes, discomfort in the testicular region can be referred from other areas, such as the lower abdomen or pelvic region.

The sensation of needing to urinate frequently, coupled with the discomfort in the testicle, could also suggest that the injury has affected the surrounding structures, including the bladder or urethra. This is not uncommon, as the nerves in the pelvic region can be interconnected, leading to sensations that may not directly correlate with the site of injury.

In most cases, minor injuries to the testicles resolve on their own without the need for medical intervention. However, it is crucial to monitor your symptoms closely. If the discomfort persists, worsens, or if you begin to experience additional symptoms such as swelling, severe pain, fever, or any changes in urination, it would be advisable to seek medical attention promptly. These could be signs of more serious conditions such as a testicular torsion, epididymitis, or even a hernia, which would require immediate evaluation.

In the meantime, here are a few recommendations to help manage your discomfort:
1. Rest and Avoid Strain: Give your body time to heal by avoiding heavy lifting or strenuous activities that could exacerbate the discomfort.

2. Ice Application: Applying a cold pack to the affected area for short periods can help reduce any swelling and numb the discomfort.

3. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help alleviate any discomfort you may be experiencing.

4. Monitor Symptoms: Keep track of any changes in your symptoms, including the intensity of the discomfort, any new sensations, or changes in urination.

5. Consult a Healthcare Provider: If symptoms persist or worsen, do not hesitate to consult a healthcare provider for a thorough examination. They may perform a physical examination and possibly imaging studies, such as an ultrasound, to rule out any serious conditions.

In conclusion, while the discomfort you are experiencing may be a normal response to the trauma, it is essential to remain vigilant and seek medical advice if your symptoms do not improve or if you have any concerns. Your health and well-being should always be a priority, and addressing any potential issues early on can lead to better outcomes.

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