Should You See a Doctor After a Groin Injury in Martial Arts? - Urology

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Injury to the groin area during exercise?


Hello doctor, I was kicked in the groin while practicing karate two days ago.
It was extremely painful at first, but after three days of icing and resting, it has improved a lot.
There are no noticeable bruises or external injuries on my penis or testicles, but my abdomen and testicles still feel a bit uncomfortable.
My erections are not as strong as they used to be.
Should I see a doctor? What kind of examinations and treatments can I expect from the doctor?

Xiao En, 10~19 year old female. Ask Date: 2015/11/25

Dr. Li Yilun reply Urology


The physician needs to visually assess and monitor the treatment progress of the wound in order to make a judgment.
Based on your description, if the condition has not worsened for three days, you may apply ice.
After three days, you can switch to heat therapy to assist circulation and tissue recovery.
If there is gradual improvement, you can continue to observe.
However, if pain persists or if there is a hematoma, it is advisable to seek medical attention.
It is important to note that a simple description cannot provide enough information to assess the condition; a thorough medical history, physical examination, and diagnostic tests are often necessary for an accurate diagnosis.

Reply Date: 2015/11/25

More Info


After experiencing a groin injury during martial arts practice, it's understandable to have concerns about your condition, especially given the sensitive nature of the area involved. While you have noted some improvement with ice and rest, the lingering discomfort and changes in erectile function warrant careful consideration.


When to See a Doctor
1. Persistent Symptoms: If you continue to feel discomfort in the groin area, particularly if it worsens or does not improve, it is advisable to seek medical attention. Symptoms such as persistent pain, swelling, or changes in erectile function can indicate underlying issues that may require professional evaluation.

2. Signs of Serious Injury: If you experience severe pain, swelling, bruising, or if you notice any changes in urination or bowel movements, these could be signs of a more serious injury, such as a testicular injury or hernia, which necessitates immediate medical evaluation.

3. Emotional and Psychological Impact: Sometimes, injuries in sensitive areas can lead to anxiety or stress about sexual function or fertility. If you find yourself preoccupied with these thoughts or if your symptoms are affecting your mental health, it’s important to discuss these concerns with a healthcare provider.


What to Expect During a Medical Evaluation
If you decide to see a doctor, they will likely perform a thorough evaluation, which may include:
1. Medical History: The doctor will ask about the incident, your symptoms, and any previous injuries or medical conditions. Be prepared to discuss the nature of the injury, the onset of symptoms, and any treatments you have already tried.

2. Physical Examination: A physical exam will be conducted to assess the groin area, testicles, and abdomen. The doctor will check for tenderness, swelling, or any abnormalities. They may also perform a hernia examination.

3. Imaging Tests: Depending on the findings from the physical exam, the doctor may order imaging tests such as an ultrasound to evaluate the testicles and surrounding structures. This is particularly important if there is suspicion of a testicular injury or torsion.

4. Laboratory Tests: If there are concerns about infection or other underlying issues, the doctor may order blood tests or urinalysis.


Treatment Options
Treatment will depend on the diagnosis:
1. Rest and Ice: For minor injuries, continued rest and ice application may be recommended.

2. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may be suggested to manage pain and inflammation.

3. Physical Therapy: If there is a strain or injury to the groin muscles, physical therapy may be beneficial to strengthen the area and improve flexibility.

4. Surgical Intervention: In cases of severe injury, such as testicular torsion or significant hernias, surgical intervention may be necessary.

5. Follow-Up Care: Regular follow-up appointments may be scheduled to monitor your recovery and address any ongoing concerns.


Conclusion
In summary, while some improvement is a positive sign, the ongoing discomfort and changes in erectile function suggest that it would be wise to consult a healthcare professional. They can provide a comprehensive evaluation and appropriate treatment options tailored to your specific situation. Remember, it’s always better to err on the side of caution, especially with injuries in sensitive areas. Your health and well-being are paramount, and seeking medical advice can help ensure a full recovery.

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