Testicular Injury: When to Seek Medical Attention

Today, my testicles were hit?

Hello, doctor.
I'm currently working in Japan.
Today at work, a colleague threw a snowball at me and accidentally hit my testicles.
The pain was so intense that I fell to the ground and couldn't get up, but after about 20-30 minutes, the pain subsided.
However, I'm unsure if there is any swelling.
I would like to ask, if there is indeed an injury, will the pain persist? If there is no pain, do I need to seek medical attention?

A Sheng, 20~29 year old female. Ask Date: 2019/02/13

Dr. Sun Hongshun reply Urology

Hello, if the testicles are injured due to external force, there should be pain and tenderness, along with symptoms such as hematuria.
It is advisable to seek medical attention if you experience any discomfort.

Reply Date: 2019/02/13

More Info

Testicular injuries can be quite concerning, especially when they result from a direct impact, such as being hit by a snowball. The immediate pain you experienced is a common reaction to trauma in that area, and it can range from mild discomfort to severe pain. In your case, since the pain subsided after about 20-30 minutes, it suggests that the injury may not be severe. However, there are several factors to consider when determining whether you should seek medical attention.

When to Seek Medical Attention
1. Persistent Pain: If you continue to experience pain that does not diminish over time, it is essential to consult a healthcare professional. Persistent pain could indicate a more serious injury, such as a rupture or torsion.

2. Swelling or Bruising: If you notice any swelling, bruising, or changes in color in the scrotal area, this could signify an injury that requires medical evaluation. Swelling can be a sign of trauma or bleeding within the scrotum.

3. Nausea or Vomiting: If you experience nausea or vomiting along with the pain, this could indicate a more severe injury or a reaction to the pain itself.
4. Difficulty Walking or Moving: If you find it painful to walk or if you have difficulty moving around, this is another reason to seek medical attention.

5. Changes in Urination: If you notice any changes in urination, such as blood in the urine or difficulty urinating, you should see a doctor immediately.

6. Fever: A fever following an injury could indicate an infection or other complications, which would require prompt medical attention.

Understanding the Injury
Testicular injuries can range from minor bruises to more severe conditions like testicular torsion or rupture. In cases of torsion, the blood supply to the testicle is compromised, which can lead to severe pain and requires immediate surgical intervention.

What to Do Next
- Observation: Since your pain subsided relatively quickly, you might choose to monitor the situation for a day or two. Pay attention to any changes in symptoms, such as the onset of swelling or persistent pain.

- Ice Application: If you notice any swelling, applying ice wrapped in a cloth to the area can help reduce inflammation and provide relief.

- Rest: Avoid any activities that could exacerbate the injury, such as heavy lifting or strenuous exercise.

- Consult a Doctor: If you have any concerns or if symptoms worsen, it is always best to err on the side of caution and consult a healthcare professional. They may perform a physical examination and, if necessary, imaging studies like an ultrasound to assess for any internal injuries.

Conclusion
In summary, while the immediate pain subsided, it is crucial to remain vigilant for any signs of complications. If you experience any concerning symptoms, do not hesitate to seek medical attention. Early intervention can prevent potential complications and ensure proper healing. Remember, your health and well-being are paramount, and it is always better to be safe when it comes to injuries in sensitive areas.

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