Testicular Pain After Injury: When to Seek Medical Attention? - Urology

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What should I do about testicular pain?!


A couple of days ago, I accidentally squeezed my boyfriend's testicles while playing, but it wasn't very hard.
The next day, he woke up with pain, and it hurts when he walks or even with light touch.
What could be the issue? Is the situation serious? Does he need to see a doctor?

Xiao Ji, 20~29 year old female. Ask Date: 2015/11/28

Dr. Xu Weikai reply Urology


Hello, if you notice that your testicles are not experiencing persistent pain or continuous enlargement, it is best to seek medical attention.
The greatest concern is testicular rupture, which can lead to hematoma formation, among other issues.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Online answers should only serve as a reference; if necessary, it is important to visit a medical facility.
The Ministry of Health and Welfare Taitung Hospital cares about you.

Reply Date: 2015/11/28

More Info


Testicular pain following an injury, even if it seems minor, can be a concerning symptom that warrants careful consideration. In your case, since you experienced pain after a light squeeze to the testicles, it is important to understand the potential causes and when to seek medical attention.

The testicles are sensitive organs, and even minor trauma can lead to pain due to various reasons. Common causes of testicular pain after an injury include:
1. Trauma or Contusion: A direct blow or squeeze can cause bruising (contusion) of the testicular tissue, leading to pain and swelling. This is often accompanied by tenderness and may resolve on its own with rest and ice application.

2. Epididymitis: This is an inflammation of the epididymis, the tube that carries sperm from the testicles. While it is often caused by infections, it can also occur after trauma. Symptoms include swelling, redness, and pain in the affected testicle.

3. Testicular Torsion: This is a medical emergency where the spermatic cord becomes twisted, cutting off blood supply to the testicle. Symptoms include sudden, severe pain, swelling, and sometimes nausea. This condition requires immediate medical intervention.

4. Hernia: Inguinal hernias can sometimes present with pain in the testicular area, especially after physical activity or trauma.

5. Referred Pain: Sometimes, pain in the testicles can be referred from other areas, such as the abdomen or groin.

Given your symptoms—pain that worsens with movement and light touch—it is advisable to seek medical attention, especially if the pain persists or worsens. Here are some guidelines on when to see a doctor:
- Persistent Pain: If the pain does not improve after a day or two of rest and ice, or if it worsens, you should see a healthcare provider.

- Swelling or Redness: If you notice significant swelling, redness, or warmth in the area, this could indicate an infection or other complications.

- Nausea or Vomiting: If you experience nausea, vomiting, or fever along with the pain, it may indicate a more serious condition that requires immediate attention.

- Severe Pain: If the pain is severe and sudden, especially if accompanied by other symptoms like swelling or changes in testicular position, seek emergency care.

In the meantime, you can manage mild pain with over-the-counter pain relievers such as ibuprofen or acetaminophen, and applying ice packs to the area can help reduce swelling and discomfort. However, do not apply ice directly to the skin; wrap it in a cloth to prevent frostbite.

In conclusion, while minor testicular pain can often resolve with conservative measures, it is crucial to monitor your symptoms closely. If you have any doubts or if your symptoms escalate, do not hesitate to consult a healthcare professional for a thorough evaluation and appropriate treatment. Your health and well-being are paramount, and it is always better to err on the side of caution when it comes to potential injuries in sensitive areas.

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