What is testicular rupture? The testicles are male sex glands located in the scrotum. Despite this protection, testicular rupture (tearing) is possible in the event of trauma. Testicular rupture is an emergency. The nearest emergency department should be visited immediately if a testicular rupture is suspected. In the case of a serious injury, the usual treatment is surgery, followed by several weeks of recovery and a slow return to daily activities. In the most severe cases, surgical removal of a ruptured testicle may be necessary. What are the symptoms of testicular rupture? In many cases, a bruised testicle is a painful but minor injury that can go away on its own. But if there are more symptoms than localized pain in the scrotum, the patient may need emergency medical attention. Bruising and swelling of the scrotum may be signs of a ruptured testicle. What are the causes of testicular rupture? Testicular rupture usually occurs as a result of blunt trauma. According to studies, most injuries to the scrotum are the result of firearms. But sports injuries caused by playing with a ball can also cause the testicles to be bruised or torn. The same applies to combat sports where a direct blow to the scrotum may be observed or sports where a fall on a hard surface occurs. When should help be sought? Severe pain and swelling of the scrotum should be treated as an emergency, especially if there is blood in the urine or problems urinating. Blood in the urine or difficulty urinating may suggest further injury to the urethra or bladder. It is important to pay attention to any other changes, such as pain that lasts for several days. If the doctor suspects a testicular rupture, he will perform a physical exam and ask about the possible cause of the injury. The patient may be asked to provide urine for testing to check for signs of infection or other indicators of illness. The doctor may perform an ultrasound of the scrotum to look at the tissue and see any changes in blood flow. Bibliography: National Center for Biotechnology Information (NCBI). Blok D, et al. Testicular rupture following blunt scrotal trauma Urology Care Foundation. Testicular trauma Healthline. What to Know About Testicular Rupture