Impact to the Testicles: What You Need to Know About Injury Risks - Urology

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Testicle trauma?


In the second semester of my first year in junior high, I was playing with a classmate, and he accidentally hit my testicles when his hand went underneath me.
It hurt for a few minutes, but later my testicles were able to move up and down.
Should I be concerned about any injury?

Suíbiàn, 10~19 year old female. Ask Date: 2015/07/18

Dr. Xu Weikai reply Urology


Hello, you can observe for 3-5 days, and if there are no changes, you can feel reassured.
If there are any unclear aspects, feel free to ask again, and we can discuss and research further.
Answers found online should only be used as a reference; if necessary, it is still important to seek medical attention at a healthcare facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/07/18

More Info


Injuries to the testicles can be quite painful and concerning, especially when they occur due to trauma, such as being struck during play or sports. The testicles are sensitive organs, and any impact can lead to various degrees of injury, ranging from minor bruising to more severe conditions that may require medical attention.

Based on your description, it sounds like you experienced a direct impact to your testicles, which caused immediate pain. The fact that you felt pain for a few minutes and then noticed that your testicles were able to move normally is a positive sign. However, it is essential to understand the potential risks and symptoms associated with testicular injuries.


Potential Risks and Symptoms of Testicular Injury:
1. Bruising and Swelling: After an impact, it is common for the area to become bruised and swollen. This can happen due to bleeding under the skin or within the scrotum.

2. Pain: Pain is the most immediate symptom following an injury. It can vary in intensity and may last for a short period or longer, depending on the severity of the injury.

3. Testicular Torsion: This is a serious condition that occurs when the spermatic cord becomes twisted, cutting off the blood supply to the testicle. Symptoms include severe pain, swelling, and sometimes nausea. If you experience sudden, severe pain or if the testicle appears to be in an abnormal position, seek medical attention immediately.

4. Hernia: In some cases, trauma can lead to an inguinal hernia, where tissue protrudes through a weak spot in the abdominal muscles. Symptoms may include a noticeable bulge and discomfort.

5. Epididymitis: This is an inflammation of the epididymis, which can occur after trauma. Symptoms include pain, swelling, and sometimes fever.


What to Do After a Testicular Injury:
- Rest and Ice: If you experience pain or swelling, applying ice wrapped in a cloth to the area can help reduce inflammation. Rest is also crucial to allow the body to heal.

- Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate discomfort.

- Monitor Symptoms: Keep an eye on any changes in symptoms. If the pain persists, worsens, or if you notice swelling, bruising, or any other concerning symptoms, it is essential to seek medical attention.

- Consult a Doctor: If you have any doubts about the severity of the injury or if you experience symptoms like severe pain, swelling, or changes in the position of the testicle, it is advisable to consult a healthcare professional. They may perform a physical examination and, if necessary, imaging tests like an ultrasound to assess any damage.


Conclusion:
While it is reassuring that your testicles can move normally after the impact, it is essential to remain vigilant for any unusual symptoms. Testicular injuries can sometimes lead to complications, so if you experience any concerning signs, do not hesitate to seek medical advice. Remember that early intervention can prevent more severe issues and ensure your overall reproductive health remains intact.

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