Should You See a Doctor for Testicular Injury After Skateboarding? - Urology

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Genital injury


I accidentally injured myself while skateboarding when the board stood up and hit the area just behind my testicles.
I've been feeling uncomfortable for about 4 to 5 days, but it has improved significantly in the last few days, and the superficial abrasions have healed.
However, I've noticed that my erections are not as firm as they used to be.
It's been two days since I observed this.
Should I see a doctor for this situation?

Xiao Cheng, 10~19 year old female. Ask Date: 2022/01/05

Dr. Li Minghui reply Urology


Hello, if you have an injury and are concerned, it is certainly advisable to see a doctor.

Reply Date: 2022/01/05

More Info


Experiencing a testicular injury, especially from an impact like a skateboarding accident, can be concerning. It's important to take any injury to the genital area seriously, as the testicles are sensitive organs that can be affected by trauma in various ways. Based on your description, it seems that you have experienced some discomfort and changes in erectile function following the incident. Here’s a breakdown of your situation and guidance on whether you should see a doctor.


Symptoms and Concerns
1. Discomfort and Pain: Initially, you mentioned discomfort for about four to five days after the injury. This is common after a testicular trauma, as the area can become bruised or swollen. However, if the pain persists or worsens, it is advisable to seek medical attention.

2. Erectile Function Changes: You noted that your erections are not as firm as they were prior to the injury. This could be a temporary issue related to the trauma, but it could also indicate a more serious underlying problem, such as nerve damage or vascular issues. Changes in erectile function following trauma should not be ignored, especially if they persist.

3. Healing Process: It’s a positive sign that the surface abrasions have healed, but internal injuries may take longer to resolve. The testicles can be affected by trauma in ways that are not immediately visible, such as internal bleeding or damage to the surrounding structures.


When to See a Doctor
Given your symptoms, here are some guidelines on when to seek medical attention:
- Persistent Pain: If you continue to experience significant discomfort or if the pain intensifies, it’s essential to consult a healthcare professional.


- Changes in Erectile Function: If the changes in your erectile function do not improve over the next few days or weeks, it would be wise to see a doctor. Erectile dysfunction can sometimes be a sign of more serious issues, especially following trauma.

- Swelling or Bruising: If you notice any swelling, bruising, or changes in the appearance of the testicles, you should seek medical evaluation.

- Signs of Infection: If you develop fever, increased redness, or discharge from the area, these could be signs of an infection that requires immediate attention.

- Emotional or Psychological Impact: Sometimes, injuries can lead to anxiety or stress about sexual health. If you find yourself worrying excessively about your condition, discussing these feelings with a healthcare provider can be beneficial.


Conclusion
In summary, while some discomfort and changes in erectile function can be expected after a testicular injury, it is crucial to monitor your symptoms closely. If you experience persistent pain, significant changes in erectile function, or any other concerning symptoms, it is advisable to see a doctor. They can perform a thorough examination, possibly including an ultrasound, to assess for any internal injuries or complications. Remember, it’s always better to err on the side of caution when it comes to injuries in sensitive areas. Your health and well-being are paramount, and seeking medical advice can provide peace of mind and ensure proper healing.

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