Testicular hematoma
Hello, doctor.
A few days ago, I was in a car accident, and the skin on my testicles was slightly scraped.
The next day, I noticed some purple discoloration on my testicles, similar to a bruise, but it doesn't hurt unless I touch it.
I am also taking antibiotics and pain relievers.
Is this due to the abrasion? Is it serious?
Wu, 10~19 year old female. Ask Date: 2019/08/09
Dr. Du Shixi reply Urology
Hello: If you have a wound, you should inform your physician and undergo an examination during your follow-up visit.
Significant injuries may swell and be tender to the touch.
For now, keep the area dry and monitor for any swelling or tenderness.
If these symptoms occur, seek medical attention immediately.
Wishing you good health.
Reply Date: 2019/08/09
More Info
Testicular bruising after trauma, such as from a car accident, can be concerning, but it is important to understand the underlying causes and implications of such an injury. In your case, the bruising you observed on your testicle, which appears purple and resembles a bruise, is likely a result of the trauma you experienced. The skin abrasion you mentioned could also contribute to localized bruising due to the impact and subsequent bleeding under the skin.
When trauma occurs to the testicles, it can lead to various injuries, including contusions (bruises), hematomas (localized collections of blood outside of blood vessels), or even more severe injuries such as testicular rupture. The fact that you are not experiencing significant pain is a positive sign, as severe pain often indicates a more serious injury. However, it is essential to monitor the situation closely.
The bruising you see is likely due to blood vessels breaking under the skin, leading to the characteristic discoloration. This is a common response to trauma and is not uncommon in cases of minor injuries. The body typically absorbs the blood over time, and the bruise will gradually fade as the healing process occurs. In most cases, testicular bruising does not require surgical intervention, especially if there are no accompanying symptoms such as severe pain, swelling, or changes in urination.
However, it is crucial to be vigilant about any changes in your condition. If you notice an increase in pain, swelling, or any other concerning symptoms, you should seek medical attention promptly. Additionally, since you mentioned that you are taking antibiotics and pain medications, it is essential to follow your healthcare provider's instructions regarding these medications, as they can help manage any potential infections or pain associated with the injury.
In summary, while testicular bruising can be alarming, it is often a manageable condition resulting from trauma. The key is to monitor your symptoms and seek medical advice if you experience any worsening of your condition. It is also advisable to avoid any activities that could further strain the area, such as heavy lifting or vigorous exercise, until you have fully recovered. If you have any lingering concerns or questions about your injury, do not hesitate to reach out to your healthcare provider for further evaluation and reassurance.
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