What other conditions can mimic the symptoms of testicular rupture? Scrotal pain and swelling can occur without blunt or penetrating trauma. Some other common causes of symptoms include: Epididymitis. Caused by an infection or sexually transmitted infections (STIs), epididymitis includes symptoms such as pain, swelling, and redness of the scrotum; Hydrocele. Sometimes an injury or infection can cause fluid to build up in the scrotum, causing swelling and pain. This condition is called a hydrocele. Orchitis. Inflammation of the testicles, known as orchitis, can be caused by an infection or a virus. Varicocele. Dilation of the venous vessels in the scrotum is known as a varicocele. Testicular cancer. While testicular cancer is usually painless, symptoms include an enlarged and hard testicle. Sometimes a dense nodule can be felt. If pain and swelling develop for no apparent reason, it is advisable to see a urologist as soon as possible. What is the treatment for testicular rupture? Treatment for a ruptured testicle usually requires surgery. If a testicle is injured but has an intact blood supply, it can usually be repaired with surgery. Absorbable sutures are often used for sutures. In some cases, a plastic tube may be left in the scrotum for several days to drain excess fluid while the testicle heals. If the testicular injury is too severe, surgical removal of the affected testicle may be necessary. The operated testicle should eventually function normally and produce seminal fluid. Even with loss of a testicle, in most cases one testicle can produce enough sperm to maintain normal fertility. After surgery, the patient may be prescribed pain medication. Simple over-the-counter anti-inflammatories such as ibuprofen may be enough to manage pain during recovery. Swelling of the testicle may take at least 2 to 4 weeks to go away. After this period, the patient can return to his normal activities. However, lifting weights and other types of extreme physical exertion may require waiting a few more weeks. The same goes for contact sports or any sport where injury is possible. Recommended wearing a groin protector. Sexual activity can be restored after a few weeks, but consulting a doctor for any concerns should not be forgotten. 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