Treatment for male genital injury

I’m not even going to start explaining how I got to this question. I want to make it clear that I am NOT seeking medical advice (certainly not for myself, as I do not posses the organs in question) just factual information.

If a man suffers an impact/blow/crushing injury to the genitals what is the proper medical treatment?

I realize this ranges from an accidental whack in the nuts during horseplay (For that - apply bag of frozen peas to affected region after victim stops whimpering…?) to large animals defending themselves from perceived bipedal threats to probably horrific industrial accidents. No doubt on the extreme end we’re looking at permanent damage.

What not to do. Not for the squeamish

My wrestling coach in high school used to have us sit Indian-style, grab us under our armpits, and bounce us off the mat from about 6" up. I’m not sure if that helped or not, but it sure felt funny and made us laugh, so we didn’t complain.

Wow, a real life Tim Taylor. Kind of gives new meaning to the expression, “The Tool Man,” doesn’t it?

I ain’t lookin’. I already used up all my squeam today when I saw the Olympic weightlifterdislocate his elbow.

No pictures in the link - just text. Although the story may still make you cross your legs and go “owie!”

Oh, that poor weightlifter. That looked horrific. And horrifically painful.

Hmm… so far I have a “what NOT to do”, high school coach story, and a dislocated elbow. Not quite what I was looking for…

I realize the subject may squick out some of our more male and sensitive viewers, but I’m still curious about proper first aid/treatment for injured male genitalia.

If it doesn’t stop hurting in 10 to 30 minutes, you need to go to the doctor. Something that doesn’t need medical attention will have stopped hurting. While it hurts you can’t really do anything other than clench your teeth, and not move.

…and whimper

From an article about athletic cups:

The cardboard box sits on a shelf deep inside the Philadelphia Eagles equipment room. It was ordered years ago, yet the contents still sit there – alone, unopened and collecting dust. Inside is what I consider to be one of the greatest mysteries of today’s NFL: 12 brand new plastic protective cups.

<snip>

*Players say in today’s game, trading protection (even in vital areas) for speed is a no-brainer. They say injuries to that area – the telltale “No. 52 had the wind knocked out him; his return is questionable” – are just too rare to even worry about.

Yeah, tell that to Virgil Livers.

He’s a former defensive back who played for the Chicago Bears from 1975-79. While fielding a punt at Soldier Field, Livers was speared in the groin. By halftime, one of his testicles had swollen so badly it had to be – ugh, more flop sweat, oh the cramps … breathe, breathe! – drained with a needle by the trainers. Somehow, Livers suited up for the second half. That was a bad idea. A really, really, really bad idea. Later that night, he was rushed to the hospital where the mangled orb was surgically removed.*

First quote:

Rest:

OK - but what does the doctor do in that case?

Mind you, I have no intention of setting up a clinic for whacked nuts, I’m just curious about how it’s treated when it’s more serious than “whimper for 10 minutes”

Remember that it’s a bundle of stringy stuff balled together. They check for tears and whatever else damage like bleeding into the sack. It may need to be removed. You don’t want it putrefying in there. They will give you pain medicine either way. Going to the doctor early enough, may save what they have to remove later.

I think it will vary with the type and degree of actual injury. Diagnostic tests such as an ultrasound to specify what is going on, to castration if the tissue is irreparable.

Maybe an ER doc will comment further.

Real rugby players have things stitched up by the physio on the sideline and return to the game…

Si

Merck Manual on Penile/Testicular injuries Penile fractures are particularly gruesome, especially when you read phrases like “the snap-pop sound” and “the eggplant effect.” This article is fairly straightforward.

A friend of mine played college football while on a serious pain killer he called “bute”. He said it was for horses originally. During a game, one of his testicles was severely injured. Due to the bute, he didn’t know about the injury until afterwards. His testicle just withered away over the next few weeks. :eek: :eek: :eek:

if pain goes goes over whimper and 10, ice and er are the best bets. if there is blood or serious mangling… don’t wait the 10. er stat!

I bet he ran to the right or left after that due to the balance problem. :slight_smile:

One of my husband’s friends in college took a serious whack to the nuts when a door opened unexpectedly. Since the pain didn’t die down as usual, he did end up going to the hospital, and the doctor simply prescribed ice and rest (and perhaps gave him some of those super Tylenols, maybe). As his girlfriend was coming up for the weekend (this happened on say, a Tuesday), he asked if he’d be “ready by gametime,” to which the doctor apparently laughed and said, “so long as it doesn’t hurt.”

He turned out OK, but perhaps this is because it wasn’t too serious an injury. SpouseO said that his friend was apparently swollen really bad - not sure how SpouseO knows this; I’m hoping just from his friend’s description, but I couldn’t say.

yes and he can’t see a bag of frozen peas and carrots without just nauseous. :stuck_out_tongue: