Injuries to the scrotum: causes, symptoms, treatment methods and first aid
damage male reproductive organs that are in the scrotum( testes, epididymis and spermatic cord) caused by the traumatic impact, called the scrotum injury.Often the injuries of organs in the scrotum are accompanied by damage to the penis.In general, men of reproductive age are exposed to such injuries, so it is very important to immediately consult a doctor and get qualified medical care.Contents: cause injury scrotum organs Classification damage Symptoms trauma of the scrotal organs Diagnosis of damage Treatment Methods and first aid Complications
cause injury scrotum organs
The main causes of damage to the scrotum include:
- beating of a different nature;
- domestic injuries;
- traffic accidents;
- squeezing during sexual intercourse.
Injuries chronic nature, arising from the constant vibration, overheating and frequent shaking, may disrupt spermatogenesis .The organs of the scrotum can be injured by thermal stress.These can be burns with boiling water or steam, frostbite and chemical burns.Injuries of gunshot character, animal bites and stab wounds occur in 5% of cases.
Injuries of the scrotum organs are of the open and closed type .If the open type is damaged, the integrity of the skin of the scrotum is broken, and when closed, the skin of the scrotum remains intact.Closed forms of injuries are more common.
Important! case of injury scrotum organs are rarely damaged, as in the time of injury are reduced reflex muscles that lift the testicles, thus avoid the coverage of traumatic force.
A testicle can be broken with closed trauma only if the impact is directly on the testicle itself. In some cases, a stroke can push the testicle to the inguinal canal upward, through which it enters the abdominal cavity.
gated Injuries are divided into:
- damage from bleeding into the cavity of the scrotum or skin.In this case, massive bruising is formed, most of which dissolve over time, and do not require medical intervention;
- crushing, breaking and crushing of testicles and appendages.These injuries are considered severe and require surgical intervention;
- bruises of the testis and its epididymis with hematomas.Thus the scrotum considerably increases in sizes.Sometimes for its removal, surgical intervention is required, in which hematoma is opened and drained to remove stagnant blood.
open Injuries are divided into:
- significant injuries - cuts, fractures, extensive burns, do not penetrate into the cavity of the scrotum itself;
- penetrating wounds of the scrotum without trauma to the testicles;
- penetrating wounds in the scrotum with damage to the testicles and appendages of varying degrees, up to the detachment.
Important! All open scrotal injuries require immediate surgery.
When bitten by animals, in particular by a dog, the patient is vaccinated against rabies.
Symptomatology of scrotal organs injuries
Symptoms may vary depending on the type of injury.However, they all point to the need for a urologist to examine the organs of the reproductive system.
Closed injuries are usually accompanied by bruises and sharp pain, which can cause painful shock.
Saddles or shocks can trigger a hemorrhage.Thus the scrotum acquires a cyanotic or black color.In this case, the patient can feel the strain of the scrotum, in which it is impossible to feel the testicle.
Open scrotal injuries are usually accompanied by pain shock, internal and external bleeding.Painful shock can lead to loss of consciousness.With open trauma, the patient has paleness, profuse sweating, arterial hypotension and weak pulse.An open trauma can provoke a testicle or a fragmentation of the testicle.
Diagnostics of damages
In case of injuries or damage to organs that are in the scrotum, you should immediately contact a traumatologist, surgeon, andrologist and urologist .A full diagnosis and properly provided medical care will allow a man to maintain reproductive health.
The initial diagnosis is based on examination, complaints, anamnesis and palpation of the scrotum.
For a more complete picture, diaphanoscopy and ultrasound are used, which is fully complemented by duplex tomography and Doppler tomography.
The technique of MRI and CT is used to diagnose subcutaneous testicular rupture.
Treatment methods and first aid
Depending on the nature and severity of the lesion, the treatment method is chosen.
In the first hours after the injury, immobilization of the scrotum is carried out with a suspension or dense bandage to give it an elevated position . For the removal of edema and pain, cold compress is used. The next day, warming compresses and warmers, soaps, sessile baths and paraffin applications are used.
Open injuries undergo immediate surgery.Such injuries include testicular ruptures, deep and extensive superficial hemorrhages.Such conditions are accompanied by severe pain, nausea and severe vomiting.
Also indicative of surgical treatment at a later date after the injury may be hematoma of the scrotum, which do not disappear for a long time.
When an egg is dislocated, the patient is injected with anesthesia, and gently massaging his movements push the testicle into the scrotum.
In the case of a gunshot wound, anti-shock therapy is used and the wound is treated.The open wound is surgically excised and then sutured.
Important! After surgery, a patient can be prescribed drugs that must restore the function of the genitalia, relieve pain and antibacterial effect on the organs.
Injuries to the scrotum require immediate medical attention.Absence of treatment can lead to the development of diseases that adversely affect the organs of the reproductive system.
The main complications that can cause trauma to the scrotum: impotence, infertility and cancer of the reproductive and reproductive system.
Proper treatment will avoid the development of pathology and diseases of the reproductive system.
Radevich Igor Tadeushevich, doctor of sexopathologist-andrologist of category 1