Yes, testicles can become "detached" or dislocated from the scrotum due to severe trauma, like motorcycle accidents, pushing them into the groin or abdomen, a condition called testicular dislocation, which is a medical emergency requiring immediate care to save the testicle. Less commonly, the epididymis and vas deferens can completely separate from the testicle (testicular-epididymal dissociation), often from trauma or as a chronic issue. Severe injury can also cause a testicle rupture (tear) or degloving (skin separation).
Testicular dislocation is a rare clinical presentation that occurs most commonly as a result of blunt scrotal injury. It is immensely important to prevent any delay in diagnosis as this can lead to loss of spermatogenic function of the testis and increased risk of orchiectomy.
Predisposing factors for testicular dislocation reported are the pre-existing indirect inguinal hernia, a wide external inguinal ring, the cremasteric reflex and testicular atrophy. In patients with these abnormalities, direct trauma to the teste could lead it to the inguinal canal or the abdominal cavity.
Testicular rupture, like testicular torsion and other serious injuries to the testicles, causes extreme pain, swelling in the scrotum, nausea, and vomiting. Surgery is needed to fix the ruptured testicle.
Swelling of the scrotum. Abdominal pain. Nausea and vomiting. A testicle that's positioned higher than normal or at an unusual angle.
You'll feel a sudden, possibly severe pain in your scrotum and one of your testicles. The pain might increase and decrease but generally won't go away completely. Other symptoms include: swelling, especially on one side of the scrotum.
Testicular pain that only affects one side is very common, and it may be because of anatomical differences in blood flow and vein structure. The left testicle is more prone to varicoceles, which develop when valves in the scrotal veins don't function properly.
Masturbation or Sexual Release
Masturbation or engaging in sexual activities leading to ejaculation is often considered the quickest and most straightforward method to relieve the symptoms of blue balls. Ejaculation can release the built-up blood and tension in the genitals, resolving the discomfort almost immediately.
It is a rare complication of testicular trauma and can result from blunt or penetrating trauma, although blunt trauma is more likely to cause rupture. Testicular rupture, typically resulting from trauma sustained during a motor vehicle crash or sports play, mainly affects those from the ages of 10–30.
The cremaster reflex can be stimulated by rubbing a nerve on the inner thigh and by emotion, such as fear and laughter. The cremaster is also activated by a cold environment. If the cremaster reflex is strong enough, it can result in a retractile testicle, pulling the testicle out of the scrotum and up into the groin.
Ruptured testicle symptoms may include:
Is it possible having a baby men who have one testis ? Yes, it is generally possible for men with one testis to father children. The testicles produce sperm, and having one healthy testicle is often sufficient for normal sperm production and fertility.
A retractile testicle is a testicle that moves between the groin and scrotum in young children. A strong or overactive muscle reflex causes it. It may seem alarming, but it's not a health risk. The testicle often moves back down into the scrotum on its own, but it may require a painless move by hand.
Successful nonextremity replantations, particularly of the facial anatomy and testicles, are rare procedures, and only a handful of cases have been reported.
Make an appointment with a health care professional if you have:
Usually, the surviving testicle makes up for the testosterone and sperm loss, according to Cancer Research UK. Your ability to have biological children in the future should also not be affected. There's sometimes short-term libido loss, but testosterone hormone replacement is a potential option.
The initial presentation of patients with testicular rupture can be very non-specific with symptoms of scrotal swelling and severe pain, but the classic signs and symptoms include swelling, ecchymosis, persistent pain, abnormal testicular position, and abnormal testicular contour.
If the testicle has torn, it can be repaired if it has good blood supply and the other testicle has enough of its cover. Your urologist will most often fix the tear with stitches and close the scrotum skin. In some cases, he/she will leave a plastic tube in the scrotum for a short time to drain blood and other fluids.
As mentioned above, anatomical abnormalities and cremasteric contractions during ejaculation may cause torsion by rotating the testes medially [4], like in our case. Therefore, the masturbation should be kept in mind as a reason of testicular torsion in adolescence period.
Common causes of testicle pain include: Injury. Infection or swelling of the sperm ducts (epididymitis) or testicles (orchitis). Twisting of the testicles that can cut off the blood supply (testicular torsion).
Explanation: Bacterial, fungal, or viral infections, such as balanitis or sexually transmitted infections (STIs), can cause pain, itching, and discomfort after masturbation.
Testicular pain red flags demanding immediate medical attention (ER) include sudden, severe pain, often with nausea/vomiting, fever, or injury, as this can signal a medical emergency like testicular torsion. Other red flags are significant swelling, lumps, redness, warmth, painful urination, or pain lasting over an hour, which might indicate infection (epididymitis, orchitis), hernia, kidney stones, or testicular torsion (a twisting of the spermatic cord). Prompt diagnosis and treatment are crucial to prevent serious complications like infertility or testicle loss.
STIs that may cause testicular pain include: Gonorrhea. Syphilis. Chlamydia.