Things To Know About Testicular Rupture


Testicles in men are reproductive glands covered by two layers of tough fibrous tissue, also known as the scrotum. Despite the protective layer, testicular rupture is not uncommon, especially in cases of severe trauma. So what dangers does testicular rupture bring to men?

1. What are the signs of a ruptured testicle?

Injuries to the testicles, especially testicular rupture, will cause severe pain in the scrotum, sometimes with pain in the abdomen.

In addition, testicular rupture can also be detected through symptoms such as:

  • Nausea.
  • Scrotal bruising and discoloration.
  • Swelling of the scrotum.
  • Blood in urine and pain when urinating.
  • Fever.

In particular, the appearance of scrotum swelling or bruising is a very clear sign of testicular rupture.

2. What causes testicular rupture in men?

Testicular rupture is often caused by trauma or strong impact to the scrotum. According to a 2018 study, scientists found that the majority of scrotal injuries are the result of weapons and heavy objects. However, sports injuries can also cause bruising and testicular rupture. In rare cases, when the scrotum is impacted by a strong kick or hitting a hard surface (when falling), this condition can also occur.

3. Diagnosis of testicular rupture

To determine whether a patient has a testicular rupture or not, doctors will first ask about medical history, including:

  • When did the injury happen, how did it happen?
  • What does the patient feel after the injury?
  • How is the patient’s current feeling?
  • Previous problems related to the penis, scrotum or testicles…

These questions can confuse many patients, however, injury or incident is something no one wants. Therefore, you need to honestly answer the questions your doctor asks to facilitate diagnosis.

After checking for damage, you may need to have some tests such as:

  • Ultrasound: Creates images of the testicles and other tissues to facilitate observation.
  • Magnetic resonance imaging MRI: Creates more detailed images of the structure of the testicles and other parts inside the scrotum, making it convenient to detect points of injury.
  • Exploratory surgery: In some cases, the surgeon will make a small incision in the scrotum to look inside, determine which structures are damaged and, if necessary, treat that damage during surgery. .
Your doctor can perform an ultrasound to help diagnose a ruptured testicle
Your doctor can perform an ultrasound to help diagnose a ruptured testicle

4. Can testicular rupture be cured?

The answer depends entirely on the severity of the testicular injury. Accordingly, 90% of ruptured testicles can be successfully treated with surgery within 72 hours. This rate will decrease to 45% after this period.

Does testicular rupture cause death? Although testicular rupture is not fatal, it has many serious health consequences, especially loss of sexual ability and infertility. Along with that, when testicular rupture persists, the damaged tissue is capable of necrosis.

5. When should I see a doctor?

Not all cases of testicular pain require medical assistance. If you can relieve the pain yourself at home with some measures such as:

  • Apply cold compresses.
  • Use over-the-counter pain relievers

However, if your pain is extremely intense, the scrotal area is swollen and there is blood in the urine, this condition is a sign that your testicles are having problems. If it’s not a testicular rupture, you could also have testicular torsion or other dangerous injuries. Therefore, see a doctor for the most timely support.

6. How to treat a ruptured testicle?

When determining that the patient has testicular rupture, doctors will perform surgery. However, the extent of surgery will depend on the extent of damage and tissue healing ability.

In the most severe cases, your doctor may have to remove the testicle.

After surgery, the patient needs to have another ultrasound to ensure the wound has healed and limit possible dangerous complications.

testicular rupture
testicular rupture

In some cases, excision is required when the testicle ruptures

7. Some other dangerous testicular injuries

In case you have pain and swelling in the scrotum but do not experience any injury, you may be suffering from the following problems:

  • Epididymitis: Caused by a sexually transmitted infection, and includes symptoms of pain, swelling, and redness of the scrotum.
  • Hydrocele: Fluid buildup inside the scrotum causing swelling and pain.
    Orchitis: Due to infection or virus.
  • Varicocele: One or several veins in the scrotum are tense and enlarged, also called varicoceles.
  • Testicular cancer: Although testicular cancer does not cause pain, there may be symptoms of testicular enlargement and testicular stiffness. Pay attention when you see this sign.

Thus, testicular rupture can bring many dangers to men’s reproductive health. Treatment depends on the patient’s injury. Therefore, you need to have methods to protect and prevent and minimize injuries occurring in this sensitive area.

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