Testicle trama and Erectile Dysfunction

TESTICLE TRAUMA Injury to the testicles after mechanical trauma can range from pain that resolves to rupture of the tunica albuginea (the outermost layer of the testicle) which would require surgical exploration and repair. For the most part, the incidence of tunical rupture or permanent injury to the testicles is rare after a normal blow/kick due to mobility of the testicles in the scrotum and the overall testicular consistency, both of which act to distribute and absorb the mechanical energy. It is more likely that one experiences pain associated with possible swelling, bruising, or development of a hematoma (collection of blood within the scrotum-also rare). Essentially, development of any of the above conditions would depend on the degree of trauma. If the blow were substantial, one could envision that a patient might become sterile. Although this is possible, it is highly unprobable especially in the absence of any other gross manifestations. Testicular tubules have a protective barrier which keeps it safe from the exposure to the bloodstream. It is called the blood testes barrier and protects the testicle and its haploid (half the number of chromosomes) sperm from being exposed to the immunologic system of the body. The haploid sperm is seen by the body (diploid) as foreign, and if exposed to each other, the body can mount an immune response against ones own sperm. This is why moderate trauma can result in the production of antisperm antibodies thus resulting in infertility. This is not an absolute scenario. All men who have testicular trauma are not subfertile or necessarily form antisperm antibodies. The semen analysis may be normal, but the sperm do not perform properly. Antisperm antibodies are common. Many men have antisperm antibodies, especially if they have had a vasectomy (The blood stream is exposed to the sperm.). This does not cause any other recognized problems to date.

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