Spermatic cord torsion is the twisting of the testicle resulting in a reduced blood flow through the tissues which connects it to the abdomen. A scrotal contusion results from a direct blow or impact to the scotum.
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- Spermatic Cord Torsion
- Scrotal Contusion
Spermatic Cord Torsion
This can be a serious condition as a complete loss of blood flow would quite quickly result in the death of the testicle. It will cause severe pain and medical help will be needed immediately to prevent further damage and problems.
Symptoms of spermatic cord torsion include sudden severe pain in the scrotum with swelling and tenderness. The athlete may have a feeling of heaviness in the testicle as well as experience nausea and vomiting.
Abnormal mobility of the testicle. Direct impact can cause the testicle to rotate. Nearly all torsions occur in adolescent boys. Larger testicles are more likely to become twisted.
Seek medical attention immediately. An ultrasound scan may be performed. An injected dye will be observed as it courses through the blood vessels to the testes. This will demonstrate if there is adequate blood supply to the area. If not, then surgery will be performed. Surgery should be within 24 hours to ensure that there is no long-lasting damage to the testicle. Surgery involves untwisting the cord and securing the testicle in place so that it cannot rotate again. The other testicle may also be fixed in place.
A scrotal contusion is bleeding and bruising in the scrotum or testicles following a direct impact to the area from a ball or opponent. There will be severe pain on impact with swelling, tenderness and nausea also being possible symptoms. This normally heals naturally without any complications or long term problems.
Symptoms of a scrotal contusion
Symptoms include severe pain at the time of impact or trauma. There may be swelling in the testicles along with bruising which may appear later. Nausea or feeling of sickness is likely and the area is likely to be tender for a few days.
Treatment of a scrotal contusion
Treatment of a scrotal contusion is to rest and allow it to heal naturally. In the vast majority of cases, there are no side effects or long-term problems following such an injury. Painkillers and cold packs or baths may be recommended by a Doctor to ease the pain, bleeding, and swelling.
If there are any unusual symptoms immediately or in the weeks following the injury, seek medical attention.