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Will injury in testicle lead to death of testicles?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At January 16, 2020
Reviewed AtOctober 6, 2023

Patient's Query

Hi doctor,

I am a 35-year-old male and had a minor hit to my right testicle about two to three weeks ago. It has gradually been feeling better but still hurts a bit. I had it physically checked by a doctor yesterday and he said it was fine and should be fully healed in another three to four weeks time. I have since been searching on the internet and I wanted to know if is it possible for a testicle to die from a hit.

  1. Could the fact the pain is reducing daily also mean that it is gradually dying (rather than gradually getting better)?
  2. How does one know if his testicle has died?
  3. What are the symptoms?
  4. Can you tell me how it feels?
  5. Does it have sensation or pain?
  6. Do you have no pain and no sensation in that area?
  7. Does the shape change?
  8. Why does it have to be removed if it dies? Please help.
Answered by Dr. Lohit Chauhan

Hello,

Welcome to icliniq.com.

I do not know what you mean by a dying testicle. One thing I can assure you if you have been examined by a good physician your testicle is safe. If you are still worried you can get an ultrasound of your scrotal sac to rule out any vascular injury. Testicles are just like other body parts, they do not die but can get injured and damaged.

In your case, as you said it was a minor hit, I personally do not think that should be a cause to worry. Answering your questions point by point.

1) Yes, the testicles can get injured and damaged by a hit. There can be testicular rupture, torsion of the spermatic cords (blood supply and sperms cross through this structure), or vascular injury to testicles.

2) No, with decreasing pain, it usually gets better. If it was getting worse one would notice color changes on the scrotal surface, swelling, and maybe gangrenous areas later on.

3) I said in the beginning, I do not know what you mean by a dying testicle. I assume you mean damaged testicles. A rupture or torsion is very painful and is a medical emergency a slight delay can be disastrous. There are no specific signs and symptoms of damaged testicles until both are damaged.

Damage can be an acute process as it occurs in torsion or rupture. Both conditions are accompanied by intense testicular and inguinal pain later followed by swelling and color changes if not surgically corrected. Testicles can also be damaged by some chronic processes like vascular compromise, and atherosclerosis The process is usually gradual takes a long time, and can be asymptomatic or associated with intermittent pain. The fertility will be reduced and is moreover a bilateral process. Some infections and drugs can also damage testicles slowly.

4) Testicles are pain-sensitive structures and even a slight hit or light press will cause pain. Most men know, a testicular injury can cause a substantial amount of pain. It is normal to have pain at that site.

5) After an injury shape might change but it is highly unlikely until the injury causes a rupture of the testicles.

6) Not necessarily, I assume dead testicles is the one that has gangrenous changes. Any gangrene has to be removed from the body as it can spread to the whole body.

I hope this helps.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Lohit Chauhan
Dr. Lohit Chauhan

General Medicine

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