What causes pain when the scrotum is hit?

Aug 31, 2024 Source: Cainiu Health

Dr. Cao Zhiqiang

Introduction

Pain in the scrotum after trauma may be caused by subcutaneous soft tissue contusion, scrotal wall hematoma, varicocele, epididymitis, testicular torsion, etc., and management should be based on the specific condition. Direct external force to the scrotum can lead to subcutaneous soft tissue contusion, resulting in pain. If pain occurs in the scrotum after injury, it is recommended to seek timely medical attention at a hospital and follow medical advice for appropriate treatment.

Pain in the scrotum after being struck may be caused by subcutaneous soft tissue contusion, scrotal wall hematoma, varicocele, epididymitis, or testicular torsion. Management depends on the specific condition. Detailed analysis is as follows:

1. Subcutaneous soft tissue contusion: Direct trauma to the scrotum may cause contusion of the underlying soft tissues, resulting in pain. It is recommended to apply local cold compresses to reduce swelling and relieve pain.

2. Scrotal wall hematoma: Blunt trauma may lead to rupture of blood vessels in the scrotal wall, causing a hematoma and associated pain. Bed rest is advised, along with elevating the scrotum and applying cold compresses locally.

3. Varicocele: Scrotal injury may trigger or worsen varicocele, leading to scrotal pain. Wearing tight-fitting underwear or using a scrotal support (suspensory) can help improve symptoms.

4. Epididymitis: This is an inflammation of the epididymis caused by bacterial infection, which leads to scrotal pain. Follow medical advice to take analgesic medications such as acetaminophen tablets, aspirin tablets, or ibuprofen tablets.

5. Testicular torsion: The testicle is attached within the scrotum by the spermatic cord. Abnormal twisting of the spermatic cord can obstruct blood flow to the testicle, causing severe pain and potentially leading to tissue necrosis. Prompt surgical detorsion and fixation of the testicle are required under medical guidance to prevent permanent damage.

If scrotal pain occurs, it is important to seek timely medical evaluation and follow professional medical advice for appropriate management.

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