What you need to know about testicular rupture

The testicles in men are reproductive glands surrounded by two layers of tough fibrous tissue, also known as the scrotum. Despite the protective layer, a ruptured testicle is not uncommon, especially in the case of severe trauma. So what are the dangers of testicular rupture for men?

Trauma to the testicles, especially ruptured testicles, 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. Scrotum bruised, discolored. Scrotal swelling. Blood in the urine and pain while urinating. Fever. In particular, swelling or bruising of the scrotum is a very clear sign of a ruptured testicle.

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

To determine if the patient has a testicular rupture, first of all, the doctor will ask about the medical history, including:
When and how did the injury happen? How does the patient feel after the injury? How is the patient currently feeling? Previous problems involving the penis, scrotum or testicles... These questions can be confusing for many patients, however, injury or incident is something no one wants. Therefore, you need to honestly answer the questions that the doctor asks to facilitate the diagnosis.
After checking for damage, you may need some tests such as:
Ultrasound: Creates pictures of the testicles and other tissues for easy viewing. Magnetic Resonance Imaging (MRI): Produces more detailed images of the structure of the testicles and other parts of the scrotum, which is advantageous for detecting the point 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 the damage during surgery. .

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 percentage will drop to 45% after this period.
Does testicle rupture cause death? Although testicular rupture is not fatal, it has serious health consequences, especially loss of sexual ability and infertility. Along with that, when testicular rupture persists, the damaged tissue is likely to necrosis.

Not every case of testicular pain requires medical attention. If you can relieve the pain at home by some measures such as:
Apply cold. Use over-the-counter pain relievers, however, if your pain is extremely severe, your scrotum swells, and there's blood in your urine, this could be a sign of a problem with your testicles. If you don't have a testicle rupture, you could also have testicular torsion or other dangerous injuries. So, see your doctor for the most timely support.

When determining the patient has a testicular rupture, the doctor will conduct surgery. However, the extent of surgery will depend on the extent of the damage and the ability of the tissue to heal.
In the most severe cases, the doctor may have to remove the testicle.
After surgery, the patient needs to be re-ultrasound to ensure the wound has healed and to limit potentially dangerous complications.

In case you have pain and swelling in your scrotum but no trauma, you may be suffering from the following problems:
Epididymitis : Caused by a sexually transmitted infection, including symptoms pain, swelling and redness of the scrotum. Hydrocele: Fluid builds up inside the scrotum causing swelling and pain. Orchitis: Due to an infection or a virus. Varicocele: One or a few veins in the scrotum become tense and enlarged, also known as varicocele. Testicular cancer: Although testicular cancer is not painful, it is possible to have symptoms of testicular enlargement and testicles. Pay attention when you see this sign. Thus, testicular rupture can bring many dangers to male reproductive health. Treatment depends on the patient's trauma. Therefore, you need to have a method to protect and prevent and minimize the injuries that occur in this sensitive area.
Vinmec International General Hospital is a hospital that not only ensures professional quality with a team of leading medical professionals, modern equipment and technology, but also stands out for its examination, consultation and treatment services. comprehensive, professional disease; civilized, polite, safe and sterile medical examination and treatment space. The hospital always approaches and applies proven advanced techniques to help patients feel safe and reduce pain during surgery.

References: healthline.com, webmd.com, en.wikipedia.org