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Oct 23, 2014 — by Larry Lipshultz

A man in a suit sitting at homeDr. Larry Lipshultz is one if the leading men's health experts in the greater Houston area because of his careful attention to various needs. He has been able to treat male infertility using the latest therapies and techniques, and has also addressed advanced urological needs related to vasectomy and vasectomy reversal.

You may recall a previous blog post at the end of August about testicular trauma resulting in male infertility. We want to revisit that topic right now with a focus on the different kinds of trauma and what each entails.

Different Causes of Testicular Trauma

As we previously mentioned, some of the most common causes of testicular trauma include the following:

  • Sports injuries
  • Auto accidents
  • Cycling accidents
  • Slips and falls
  • Assault
  • Industrial accidents
  • Workplace injuries
  • Improper use of power tools
  • Reckless behavior

Testicular Rupture

The fibrous covering of the testicle is known as the tunica albuginea. A rupture occurs when severe trauma to the testes causes a tear in the tunica albuginea and the extrusion of the tissue within.

Testicular Fracture

Severe trauma can cause the tissue within the tunica albuginea to break. This is what a fracture refers to. Sometimes fractures can occur without a rupture of the tunica albuginea.

Testicular Contusion

A contusion of the testicles involves blood vessel injuries in the testicle itself. This leads to testicular bleeding as well as testicular bruising.

Testicular Torsion

A spermatic cord leads from each testicle and is comprised of the vas deferens and other tissues nearby. Injury to the testicles or scrotum can cause this cord to twist. This is known as torsion. In rare instances, the torsion can occur without an injury.

Testicular Dislocation

A serious injury to the groin and testicles can cause a testicle to come out of place. Rather than being located in the scrotum, the dislocated testicle may be lodged in the abdomen or another part of the body near the groin.

Degloving of the Scrotum

Not affecting the testicles per se, degloving refers to the tearing of the scrotum from the body, leaving the testicles exposed.

Treating Testicular Trauma

In the vast majority of serious injuries such as dislocation, torsion, and degloving, immediate emergency treatment is crucial. This will help prevent serious blood loss, internal damage, and other major medical problems. For injuries that are not life threatening but nonetheless serious, a combination of pain relievers, bed rest, and refraining from strenuous activities should all prove generally helpful.

If the testicular trauma has led to problems with fertility, there are numerous options to consider that can potentially restore your fertility. These can be discussed on a case by case basis.

Tips for Preventing Testicular Injury

As we mentioned in the previous article, the sure way to prevent a serious injury to the testicles is to wear an athletic supporter during sports. Wearing a cup will protect the testes and scrotum from direct trauma and the cup itself will absorb much of the force of the trauma.

Be sure to wear any protective smocks or attire when performing industrial work as your job necessitates. It's also important to keep a safe distance from industrial equipment and power tools in order to prevent belt snags or getting your clothing caught in machinery.

Learn More About Men's Health Treatments

If you have suffered a serious injury to your testicles, we encourage you to contact our men's health and urology center today. Dr. Lipshultz will determine how to best address your injury and perform the ideal treatment for you and your needs, restoring your general wellness and, when possible, your fertility.