Testicular and Penile Health After Injury: What to Look For - Urology

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I often play with some classmates, but sometimes we get a bit too carried away and I accidentally get kicked in the genital area, causing pain to my testicles and penis.
I want to ask if this could cause any problems, and how can I check if my genitalia is normal? I'll be more careful next time.

Xiao Ming, 10~19 year old female. Ask Date: 2005/03/14

Dr. Chen Zhirong reply Urology


As long as there are no obvious bruises or hematomas on the external genitalia, there is usually no major concern.
However, if discomfort persists, it is advisable to consult a urologist for a more appropriate evaluation.
From Chen Zhi-Rong.

Reply Date: 2005/03/14

More Info


Injuries to the genital area, particularly the testicles and penis, can be concerning and may lead to various complications if not properly assessed and managed. It's important to understand what signs to look for after such an injury, as well as when to seek medical attention.


Immediate Symptoms to Monitor
1. Pain: Acute pain is the most immediate symptom following an injury. If the pain is severe and does not subside, it may indicate a more serious injury.


2. Swelling and Bruising: Look for any swelling or bruising around the area. Swelling can be a normal response to injury, but significant swelling may indicate trauma to the tissues or blood vessels.

3. Changes in Color: Any discoloration of the skin or the genital area can be a sign of bruising or internal bleeding.

4. Nausea or Vomiting: Sometimes, severe pain can lead to nausea or vomiting, which may indicate a serious injury.

5. Difficulty Urinating: If you experience pain while urinating or difficulty starting urination, this could suggest an injury to the urethra or bladder.

6. Lumps or Bumps: Any unusual lumps or bumps in the testicular area should be evaluated. This could indicate a hematoma (a localized collection of blood outside of blood vessels) or other complications.


Long-Term Signs to Watch For
1. Persistent Pain: If pain persists beyond a few hours or worsens over time, it is crucial to seek medical evaluation.

2. Testicular Changes: Any changes in the size or shape of the testicles, such as one becoming larger or feeling harder than the other, should be assessed by a healthcare professional.

3. Erectile Dysfunction: If you notice difficulties in achieving or maintaining an erection following an injury, this could indicate nerve or vascular damage.

4. Fertility Concerns: If you have concerns about fertility or changes in sexual function, it is advisable to consult a healthcare provider.


When to Seek Medical Attention
- Severe Pain: If the pain is unbearable or does not improve with over-the-counter pain relief.

- Swelling: Significant swelling that does not decrease after a few hours.

- Signs of Infection: Such as fever, increased redness, or discharge from the penis.

- Difficulty Urinating: If you cannot urinate or experience severe pain while doing so.

- Lumps or Masses: Any new lumps or masses that develop in the testicular area.


Self-Assessment
While some minor injuries may heal without intervention, it is essential to be vigilant. You can perform a self-examination by gently palpating the testicles to check for any irregularities, lumps, or changes in size. However, if you have any doubts or concerns, it is best to consult a healthcare professional for a thorough examination.


Conclusion
Injuries to the genital area can be distressing, but many minor injuries heal well with time and care. However, being aware of the signs and symptoms of more serious injuries is crucial. If you experience any concerning symptoms, do not hesitate to seek medical advice. Remember, it is always better to err on the side of caution when it comes to your health.

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