Testicular Trauma
At Montefiore Einstein Urology, you can access exceptional care for testicular trauma. As a global leader in urology, we are an academic-based, national and international referral site for the most complex and high-risk cases. For more than a century, we have been at the forefront of innovation, research and clinical care for genitourinary (GU) conditions.
Ranked in the top 1% of all hospitals in the nation for urology according to U.S. News & World Report, Montefiore Einstein continues to make advances in the diagnosis and treatment of GU conditions. Our multidisciplinary team of world-renowned specialists is passionate about uncovering the latest diagnostic approaches and treatments that can improve outcomes.
At Montefiore Einstein Urology, you can expect compassionate, personalized, research-driven treatment plans that meet the highest standards for quality and safety. In addition, we offer patients a full range of support services, from nutritional guidance to rehabilitative therapies. We also lead in minimally invasive, robotic, and laparoscopic surgical techniques and provide access to advanced clinical trials and emerging therapies to improve recovery and outcomes.
When you need testicular trauma care, turn to our dedicated multidisciplinary team for a personalized treatment plan.
What Is Testicular Trauma?
Testicular trauma occurs when the testicles or scrotum are injured by blunt force, penetrating trauma, or other external factors. These injuries can damage the testicular tissue, blood vessels, or surrounding structures, leading to pain, swelling, and, in severe cases, rupture or loss of the testicle. Common causes include sports injuries, accidents, falls, or direct compression. Prompt diagnosis and treatment are crucial to prevent complications and preserve testicular function.
Causes of Testicular Trauma
Testicular trauma is most commonly caused by blunt force or penetrating injuries. Blunt trauma can result from sports-related impacts, motor vehicle accidents, or falls, while penetrating trauma may occur due to gunshot wounds, sharp objects, or animal bites. Other causes include torsion, where the spermatic cord twists, compressing blood vessels, or crush injuries, which can cause severe tissue damage.
Signs & Symptoms of Testicular Trauma
The symptoms of testicular trauma can vary depending on the severity of the injury. Common signs include severe pain in the scrotum, swelling or bruising, and nausea or vomiting. Some patients may experience blood in the urine, painful urination, or lower abdominal discomfort. Fever following the injury may indicate infection or tissue damage, and in severe cases, the testicle may be visibly deformed or ruptured.
Diagnosing Testicular Trauma
Diagnosing testicular trauma typically begins with a detailed physical examination and a review of the patient’s medical history. Imaging tests, such as ultrasound, are often used to assess blood flow to the testicles and identify injuries such as ruptures, hematomas, or torsion. In complex or severe cases, surgical exploration may be necessary to confirm the diagnosis and evaluate the extent of damage.
Treating Testicular Trauma
Treatment for testicular trauma depends on the severity of the injury. Mild cases are often managed with noninvasive approaches, while more severe injuries may require surgical intervention. Options include:
- Mild cases: Rest, over-the-counter pain relievers and applying ice can reduce swelling. Antibiotics may also be prescribed to prevent infection.
- Moderate to severe cases: Surgery can repair tears in the testicle or scrotal tissue, ensuring the restoration of function and appearance.
- Acute cases: If the testicle is severely damaged and cannot be repaired, surgical removal (orchiectomy) may be necessary.