Testicular Injury: When to Seek Medical Attention After Trauma - Urology

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Testicle trauma?


Four days ago, my testicles were hit by a classmate, and since today, they have been slightly aching, swollen, and hanging lower than usual.
I'm hesitant to tell my parents.
What will happen if I don't see a doctor?

Niming, 10~19 year old female. Ask Date: 2015/11/10

Dr. Xu Weikai reply Urology


Anonymous: Hello, if there is a bleeding disorder, it can be very painful and lead to bruising, among other symptoms.
If bleeding persists, swelling may increase, and the condition can become more severe.
If you are fortunate, there may only be mild bleeding that has stopped, and complete recovery can take about 2 weeks to 6 months.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers found online should only be used as a reference; it is essential to seek medical attention at a healthcare facility if necessary.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/11/10

More Info


When it comes to testicular injuries, it's crucial to take any trauma seriously, especially if you're experiencing pain, swelling, or changes in the appearance of the testicles. In your case, since you mentioned that your testicles have been painful and swollen for four days after being struck, it is advisable to seek medical attention promptly.

Here are some reasons why you should consider seeing a doctor:
1. Potential for Serious Injury: Testicular trauma can lead to various injuries, including contusions, hematomas (blood accumulation), or even testicular torsion, which is a medical emergency. Torsion occurs when the spermatic cord becomes twisted, cutting off blood supply to the testicle. This condition can lead to severe pain and, if not treated quickly, can result in loss of the testicle.

2. Infection Risk: Swelling and pain can also indicate the possibility of an infection, especially if there are any accompanying symptoms such as fever or unusual discharge. Infections can lead to complications if not treated in a timely manner.

3. Long-term Consequences: Ignoring the symptoms may lead to long-term issues, including chronic pain, fertility problems, or even the loss of the testicle. Early intervention can help prevent these complications.

4. Peace of Mind: Visiting a healthcare professional can provide you with reassurance. They can perform a physical examination and, if necessary, imaging studies (like an ultrasound) to assess the extent of the injury and recommend appropriate treatment.

In terms of what to expect during your visit, the doctor will likely ask about the incident, your symptoms, and perform a physical examination. They may check for tenderness, swelling, and any abnormalities in the testicles. Depending on their findings, they may recommend rest, ice application, pain relief medications, or further imaging studies to rule out serious injuries.

It's understandable to feel hesitant about discussing this with your parents, but your health is paramount. If you're uncomfortable talking to them directly, consider reaching out to a trusted adult or school nurse who can help facilitate the conversation or assist you in seeking medical care.

In summary, given your symptoms of pain and swelling in the testicles following trauma, it is important to seek medical attention as soon as possible. Early diagnosis and treatment can prevent complications and ensure your overall health and well-being. Don't hesitate to take this step for your health; it's better to be safe and get checked out.

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