Managing Testicular Bruising After Injury: Symptoms and Self-Care Tips

Testicular hematoma

Last summer, I had surgery for varicocele, but last week while playing basketball, I got hit in the groin by a classmate's knee.
At that moment, I experienced severe pain in my testicles.
The next day, I applied ice, but the pain persisted for a week.
It hurts a lot when I stand, but sitting and lying down are more tolerable.
After a week, I also tried heat therapy.
Initially, my scrotum was very swollen, but it has reduced a bit now.
However, the area is still bruised and painful.
I'm currently in Canada and can't find a nurse at school.
How should I manage this on my own? If you see this, please reply.
I'm worried that I might need surgery.
Thank you.

123, 10~19 year old female. Ask Date: 2012/05/12

Dr. Li Yilun reply Urology

Based on your description, it seems you may have a traumatic scrotal hematoma caused by a collision.
Typically, it requires several days of rest in a supine position, and most individuals should be able to recover after this period.
Applying a warm compress for 15-20 minutes, 1-2 times a day, can help improve blood circulation and promote wound healing.
Some topical medications for scar and bruise treatment, such as silicone gel, may also be used in conjunction.
However, if you experience severe pain or if the hematoma enlarges, conservative treatment may not be sufficient.
It is important to note that it is not possible to assess the severity of your condition based solely on your brief description.
Therefore, if symptoms do not improve or worsen, it is strongly recommended to consult a healthcare professional for evaluation and examination to avoid any delay in treatment.
A physician often needs to perform a physical examination and diagnostic tests to confirm the diagnosis and determine the appropriate treatment plan.

Reply Date: 2012/05/12

More Info

Managing testicular bruising after an injury can be concerning, especially when experiencing persistent pain and swelling. Based on your description, it seems you have sustained a significant impact to the testicular area, which can lead to bruising, swelling, and discomfort. Here are some self-care tips and information on symptoms to monitor, as well as when to seek medical attention.

Symptoms of Testicular Bruising
After an injury, common symptoms include:
- Pain: This can range from mild to severe and may be localized to the testicle or radiate to the lower abdomen.

- Swelling: The scrotum may become swollen and tender.

- Bruising: Discoloration of the skin around the scrotum can occur, indicating bruising.

- Nausea: Some individuals may experience nausea or vomiting due to the pain.

- Difficulty walking: Pain may make it uncomfortable to stand or walk.

Self-Care Tips
1. Ice Therapy: Since you mentioned you have already applied ice, continue to do so for the first 48 hours post-injury. Ice packs can help reduce swelling and numb the area, providing pain relief. Apply ice for 15-20 minutes every hour as needed, ensuring you have a cloth barrier to protect your skin.

2. Rest: Avoid activities that may aggravate the injury, such as heavy lifting, sports, or any strenuous movements. Rest is crucial for recovery.

3. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain and reduce inflammation. Follow the recommended dosage on the packaging.

4. Supportive Underwear: Wearing supportive underwear can help minimize movement and provide comfort. Look for athletic supporters or snug-fitting briefs.

5. Heat Therapy: After the initial swelling has decreased (usually after 48 hours), you can switch to heat therapy. Applying a warm compress can help relax the muscles and alleviate pain.

6. Monitor Symptoms: Keep an eye on your symptoms. If the pain persists or worsens, or if you notice increasing swelling, fever, or any unusual discharge, it’s important to seek medical attention.

When to Seek Medical Attention
- Severe Pain: If the pain is unbearable and not relieved by over-the-counter medications.

- Persistent Swelling: If the swelling does not decrease after a few days or worsens.

- Signs of Infection: If you develop fever, chills, or notice any discharge from the scrotum.

- Changes in Urination: If you experience difficulty urinating, blood in urine, or any other urinary issues.

- Testicular Changes: If you notice any lumps, changes in size, or if one testicle appears significantly higher than the other.

Potential Need for Surgery
In some cases, if there is significant damage to the testicle or surrounding structures, surgical intervention may be necessary. This is particularly true if there is a rupture or severe hematoma that does not resolve with conservative management.

Conclusion
While it’s understandable to be concerned about the need for surgery, many cases of testicular bruising resolve with proper self-care. However, given your ongoing pain and the nature of the injury, it would be wise to consult a healthcare professional, especially since you are in Canada and may have access to student health services. They can provide a thorough examination and determine if further treatment is necessary. Remember, your health and well-being are paramount, so don’t hesitate to seek help if needed.

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