Bruise of the Testicles or Scrotum

A bruise happens when small blood vessels break open and leak blood into the nearby area. A testicle or scrotum bruise can result from a bump, hit, or fall. Symptoms include skin discoloration and swelling. The area may be very painful. You may have trouble walking. You may also feel nauseated.

An imaging test such as ultrasound may be done to check for damage to the testicles and the injured area. If a large amount of fluid has collected, it may be drained.

Pain may restrict your ability to walk for a few days. Rest and limit activities that are painful until your symptoms improve. Swelling should go down in a few days. Bruising may take a few weeks to go away. As it heals, the bruise will change color. It will likely turn from red, purple, blue, or greenish coloring to a light yellow. This is normal. 

Home care

Man's hands wrapping towel around ice pack.
Wrap the cold source in a thin towel before using it.

  • You may be prescribed medicines for pain and swelling. Be sure to take them exactly as directed.

  • To help relieve pain and swelling, you can also try the following:

    • Lie on your back and pull your knees to your chest if you can. Hold this position for as long as you feel comfortable.

    • Apply a cold pack to the site. Do this for 10 minutes every hour, or as directed by your healthcare provider. To make a cold pack, put ice cubes in a plastic bag that seals at the top. Wrap the bag in a clean, thin towel or cloth. Never put ice or an ice pack directly on the skin.

    • Keep the scrotum raised (elevated) on a rolled towel when possible. 

Follow-up care

Follow up with your healthcare provider, or as advised.

When to get medical advice

Call your healthcare provider right away if any of these occur:

  • Fever of 100.4°F (38°C) or higher, or as directed by your provider

  • Bruise gets larger or doesn’t get any smaller

  • Swelling doesn’t improve or gets worse

  • Pain is not relieved with pain medicines

  • Inability to urinate

  • Discharge (pus) from the penis

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