Then it is bound by a thin capsule called a tunic. So you have a blunt force trauma, and it sort of ruptures the capsule that binds the innards. It looks like a cracked egg or a disrupted egg and the stuff is pushing out through the defect in the capsule and you see this oozy material popping out.
You have to remove the stuff that is oozing out and then sew the capsule shut. How do you diagnose it? There are people who show up with swollen nut bags all the time that we don't do anything to.
Differentiating those from people that need treatment is the first thing. The diagnostic test is an ultrasound and there are a few things you're looking for. You want to see good blood flow to the testicle. If it's twisted you have to untwist it and if it's not you have to remove it. The other thing you need to see is that the capsule is intact in all areas and there is no evidence of the parenchyma oozing out. It can look awful on the outside, all black and blue and swollen, but if the blood flow is good and the capsule is intact, it can be the most awful thing in the world, but you don't touch it.
What can you do for a bruised nut that doesn't require surgery? A few weeks of good scrotal support as well as anti-inflammatory medicine and ice on and off for a few days. Then transition to heat therapy, like sitting in a hot bath, for a week or so. How long does it take to recover from testicle surgery? Usually a week. It is still going to be sore or swollen for four to five weeks, but it won't be limiting for that amount of time.
They won't want to do much and will be too sore to go to work for about a week. Unnecessary investigations should not take place if torsion is suspected, as delays to surgery can affect the viability of the testis. If the blood supply has been disrupted for too long, the testis may not be viable or salvageable, and may need to be removed.
In many cases, the surgeon will also secure the spermatic cord on the unaffected side, to prevent future torsion of the other testicle. If the torted twisted testicle has to be removed, then a surgeon can put a prosthesis or silicone testis into the scrotum for cosmetic reasons usually at a later date. The appendix testicle is a small tissue structure located at the upper third of the testicle. Torsion of the appendix testicle means that the structure has twisted and cut off its blood supply.
This condition is easily confused with testicular torsion because the symptoms are so similar. However, the onset of pain is slower and the condition often presents with a noticeable blue dot on the surface of the scrotum. This blue dot is the darkened appendix testicle. Surgery is needed to correct the problem, but the testicle is not at risk. Testicular cancer is an abnormal growth or tumour that appears as a hard and usually painless lump in either testicle.
In most cases, testicular cancer can be cured if the person seeks medical treatment early. Surgical removal of the affected testicle orchidectomy is usually the first treatment for all testicular cancer. Testicles are easily injured because they are not protected by muscle or bone. The main types of possible injuries include:.
A doctor can assess injuries to the testicles by physical examination and ultrasound. If the testicles seem normal, the doctor may prescribe pain-relieving medication. Even without an ultrasound, a surgeon may choose to explore the testicle, particularly in cases of possible testicular torsion. Surgery is usually performed under a general anaesthetic. Significant injury to the testicles may require surgical exploration and repair or, potentially, removal of the affected testis.
This page has been produced in consultation with and approved by:. Did you know that deaths from injury are 2. That men are more likely to die from preventable diseases? The effects of androgen deficiency depend on how severe the deficiency is, its cause and the age at which the deficiency begins. IVF in-vitro-fertilization and ICSI intracytoplasmic sperm injection are assisted reproductive treatment ART procedures in which fertilisation of an egg occurs outside the body.
But sports injuries, including a baseball or a lacrosse ball hitting the scrotum, can also cause testicle bruising or rupture. The same is true for a kick to the scrotum or landing on a hard surface after a fall. Blood in your urine or having difficulty urinating could suggest an additional injury to the urethra or bladder. If the scrotum has been penetrated or the bruising and pain are severe, go to an emergency room as soon as possible. Have someone else drive you, or call for an ambulance.
If icing your scrotum and taking an over-the-counter OTC pain medication relieves your symptoms, you might not need to go to the emergency room. But take note of any other changes, such as pain that lingers for a few days or blood in your urine.
If you notice such symptoms, contact your primary care doctor. They may refer you to a urologist. You may be asked to take a urine test to check for signs of infection or other markers of disease. The doctor may perform an ultrasound of the scrotum to view the tissue inside and look at any changes to your blood flow. Pain and swelling of the scrotum can occur without a blunt or penetrating injury. A few other common causes of symptoms include:.
If you develop pain and swelling without an obvious cause, try to see a urologist as soon as you can. A primary care physician can do an exam and order tests, and they may also refer you to a specialist.
Treating a ruptured testicle usually means surgery. Dissolvable stitches are often used. If that doesn't work, they do a simple surgery. Testicular rupture is a rare type of testicular trauma. It can happen if the testicle gets a forceful direct blow or is crushed against the pubic bone , causing blood to leak into the scrotum. Testicular rupture, like testicular torsion and other serious injuries to the testicles, causes extreme pain, swelling in the scrotum, nausea, and vomiting.
Surgery is needed to fix the ruptured testicle. If you have to see a doctor, they'll first need to know how long you have been having pain and how severe it is. To rule out a hernia or other problem as the cause of the pain, the doctor will examine your abdomen and groin. The doctor also will look at your scrotum for swelling, color, and damage to the skin, and examine the testicle itself. Infections of the reproductive system or urinary tract can sometimes cause similar pain.
So your doctor may do a urine test to rule out a urinary tract infection or infection of the reproductive organs. Take steps to avoid testicular injuries, especially if you play sports, exercise a lot, or just live an all-around active life. Playing sports and living an active life are great ways to stay fit and relieve stress. But it's important to protect your testicles. Use protective gear and you'll be able to play hard without fear of testicular injury.
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