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How Is Testicular Trauma Treated ?

Posted on Sun, 29 Apr 2012

Question: Hello Dr. my name is XXXXXXX About 10 days ago my left testicle got injured. They got squished hard in between my legs, I think that when they got squished the left on got pulled hard because of the force of my legs. It really hurt right away but I just thought it would feel better in a few hours. Then over the next week it smeemed to get worse and more swollen and more painful. And i can bearly walk. My left testicle is swollen and hangs alot lower then before, there is a bruise and bump on the bottom of the left one, theres also a bump on the right side of the left one. It is also very painful in between my left leg and above my tesicle and underneath my penis. It feels like one of the tubes from my testicle might have got torn or something. Is there any surgery i could have or have I waited to long already. I dont know if I should just wait and see if it gets better or its or go to the hospital right away. If that tube in their would it heal on it own or would i need to have surgery? Thanks for your time. I really appresiate it. Have a good day.

Answered by Dr. Mitaly (29 minutes later)

Hi,

Thanks for posting your query.

You are wasting time, you should immediately go to the hospital / ER.

It seems that you had an injury to the testes and it can lead to testicular trauma,torsion of the testes at times causing continuous pain. You need an immediate Ultrasound or surgical intervention.

Some suggestions for you (not alternative to going to ER):
Apply ice pack to the area every 3 hours.
Wear tight supporting under garments
Avoid lifting heavy weights
Empty your bladder completely while passing urine to avoid UTI.
Take some pain killers like Ibuprofen.

Hope I have answered your query.I will be available for follow up query if any

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mitaly (3 hours later)

Hi and thanks for your anser. I was wondering if my symptoms sound like a torsion or if they sound like symtoms of a blow? Is there any way for me to look at it or feel it to tell if there is a torsion? Do the symptoms sould like a torsion to you? Do normal blows still hurt this long after or does that mean its something seriuse wrong like a torsion? If it is a torsion could it get better on its own or do I need to have surgery to save the testicle? Also the past day or two its gotten a little less painful could that mean it was like a blow and it will get better own its own? Or do normal blow get better within a few hours? or could a blow take days or weeks to feel better? thanks for your time.

Answered by Dr. Mitaly (1 hour later)

Hi,

Thanks for the follow up

It requires a proper clinical examination to rule out the cause.Since it has already been 10 days for the pain to persist it seems like it requires an intervention and in case of normal blow the pain would not have been there till now.

Kindly consider visiting to the ER at earliest.

Wishing you speedy recovery!

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Mitaly (1 hour later)

Hi thanks for the anser. I also have severe anxiety witch makes it really hard for me to go to the hospital. If I go to the hospital do I have to ask for an ultrasound? And if it is starting to feel a little better now, should I wait a couple more days to see if it gets better? Or should go to the hospital anyway? Thanks a lot for your ansers, I appresiated it, bye

Answered by Dr. Mitaly (2 hours later)

Hello,

Thanks again

Your symptoms seem concerning to me. It needs a physical examination as soon as possible. And yes, the doctors may advice you to get the ultrasound scan done to confirm the diagnosis..

I encourage you to consult your primary care doctor as soon as possible. In the mean time, continue icing to reduce the pain and swelling.

Wish you good recovery.

Take Care!

Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar