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Should I go to the ER for a swollen testicle?

Published in Testicular Swelling Emergency 3 mins read

Yes, you should seek immediate medical attention for a swollen testicle, as it can indicate a serious condition requiring urgent diagnosis and treatment.

Why Immediate Medical Attention is Crucial

A swollen testicle, especially when accompanied by pain, can signify several conditions, some of which are time-sensitive. It's vital to have a healthcare professional assess your symptoms without delay. This is particularly true if you experience sudden or severe pain in your testicles, lower abdomen (tummy), or groin.

Conditions like testicular torsion, for instance, involve the twisting of the spermatic cord, which cuts off the blood supply to the testicle. This condition can lead to permanent damage or loss of the testicle if not treated within hours. Prompt medical evaluation is essential to differentiate between a critical emergency and less severe conditions.

When to Seek Urgent Care

While any swollen testicle warrants a medical evaluation, certain accompanying symptoms make immediate emergency care imperative.

Symptom Urgency Level
Sudden or severe testicular pain Immediate ER
Swelling accompanied by fever or nausea Immediate ER
Redness or tenderness of the scrotum Immediate ER
Difficulty urinating Immediate ER
Recent injury to the groin area Immediate ER
Swelling that occurs suddenly Immediate ER

Potential Causes of a Swollen Testicle

A swollen testicle can be caused by various conditions, ranging from mild to severe. Only a doctor can accurately diagnose the underlying issue. Some potential causes include:

  • Testicular Torsion: This is a medical emergency where the testicle twists, cutting off blood flow.
  • Epididymitis or Orchitis: Inflammation or infection of the epididymis (tube behind the testicle) or the testicle itself, often caused by bacterial infections (including STIs) or viruses.
  • Hydrocele: A collection of fluid around the testicle, often harmless but sometimes requiring drainage if large or symptomatic.
  • Spermatocele: A fluid-filled cyst that develops in the epididymis.
  • Inguinal Hernia: A condition where part of the intestine pushes through a weak spot in the abdominal wall and may descend into the scrotum.
  • Testicular Cancer: Although less common and often painless in early stages, swelling or a lump can be a symptom.

What to Expect at the ER

Upon arrival at the emergency room, healthcare professionals will perform a thorough examination. This may include:

  • A physical examination of the scrotum, abdomen, and groin.
  • Urine tests to check for infection.
  • Blood tests.
  • An ultrasound of the scrotum, which is crucial for diagnosing testicular torsion by assessing blood flow.

Based on the diagnosis, treatment could range from antibiotics for infections to urgent surgery for conditions like testicular torsion or severe hernias.

Ignoring a swollen testicle, especially if it's painful or sudden, can lead to serious and irreversible consequences for your reproductive health. Do not delay seeking professional medical advice. For more information on male reproductive health, you can visit reliable health resources like Healthdirect Australia.