Stephen J. Schueler, M.D.

Overview Symptoms Evaluation Treatment questions for doctor specialist Home Care pain in adults pain in children skin wound warning signs Complications Underlying Cause Anatomy

Painful Testicle after Injury Home Care

Home care for a testicular injury includes:

Painful Testicle after Injury Pain in Adults

Medications commonly used to control pain and inflammation in men with testicular injury include:

  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Adult dosing is 2 regular strength (325 mg) every 4 hours or 2 extra-strength (500 mg) every 6 hours.
  • Maximum dose is 4,000 mg per day.
  • Avoid this drug if you have alcoholism, liver disease or an allergy to the drug. See the package instructions.
  • Common brand names include Tylenol, Panadol, and many others.





NSAID Precautions

Painful Testicle after Injury Pain in Children

Common medications used at home for pain and fever in children with testicular injury include:

Aspirin and most of the other nonsteroidal anti-inflammatory drugs (NSAIDS) are not used in children except under a doctor's care.

  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Dosing is 10-15 mg per kilogram (5-7 mg per pound) of body weight every 4-6 hours, up to the adult dose.
  • Do not exceed the maximum daily dose.
  • Acetaminophen products come in various strengths. Always follow the package instructions.
  • Avoid this drug in children with liver disease or an allergy to acetaminophen.
  • Common acetaminophen products include Tylenol, Panadol and many others.



Painful Testicle after Injury Skin Wound

Minor cuts and abrasions to the groin can be treated at home. Initial care includes:

  • Control bleeding with direct pressure.
    • Use a gauze or clean cloth directly on the wound.
    • Maintain the pressure for at least 10 minutes.
    • Do not keep looking at the wound.
  • Clean the wound with mild soap and water. Running water can help remove dirt.
  • You may gently dab the wound with hydrogen peroxide to remove clotted blood or debris. Do not scrub or re-injure the wound.
  • Be sure there is no dirt or other foreign material left in the wound.
  • A butterfly bandage can be used to close very small, clean cuts.
  • Apply an antibiotic ointment and a dry dressing.
  • Cover the wound with gauze or elastic bandage. Facial wounds may be left uncovered.
  • Keep the wound clean and dry.
  • Protect and rest the injured area.
  • Elevate the injured body part.

Ongoing care for minor skin wounds includes:
  • Abrasions may be cleaned 2-3 times a day with a mild soap such as dilute baby shampoo.
  • Dry the wound gently, and completely, with a clean towel or gauze.
  • Apply an antibiotic and a dressing as needed.

Tetanus Considerations
Tetanus shots (boosters) can be given up to three days after an injury, as long as you have had all your tetanus shots in the past. A tetanus booster seldom needs to be given right at the time of the wound. This is not an emergency and can be done in the doctor's office or clinic.

A tetanus shot is necessary right away if you have not had three tetanus shots at any time in your life.

You need a tetanus shot within three days for:
  • A dirty wound and you have not had a tetanus shot in the last five years
  • A clean, minor wound and you have not had a tetanus shot in the last ten years

Painful Testicle after Injury Warning Signs

Continue to Painful Testicle after Injury Complications

Last Updated: Jan 5, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Painful Testicle after Injury References
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  2. Cass AS, Ferrara L, Wolpert J, Lee J. Bilateral testicular injury from external trauma. J Urol. 1988 Dec;140(6):1435-6. [3193512]
  3. Micallef M, Ahmad I, Ramesh N, Hurley M, McInerney D. Ultrasound features of blunt testicular injury. Injury. 2001 Jan;32(1):23-6. [11164397]
  4. Pace A, Powell C. Testicular infarction and rupture after blunt trauma--use of diagnostic ultrasound. ScientificWorldJournal. 2004 Jun 14;4:437-41. [15258668]
  5. Wan J, Corvino TF, Greenfield SP, DiScala C. Kidney and testicle injuries in team and individual sports: data from the national pediatric trauma registry. J Urol. 2003 Oct;170(4 Pt 2):1528-3; discussion 1531-2. [14501652]
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