A scrotal hematoma is a collection of blood that forms within the scrotal sac, which contains the testicles. This condition can develop when blood vessels within the scrotum are damaged, leading to internal bleeding. The accumulated blood can then clot, resulting in swelling and discomfort.
What is a Scrotal Hematoma
Scrotal hematomas most commonly arise from direct trauma to the groin, such as sports injuries, accidents, or falls. They can also occur as a complication following surgical procedures, with vasectomy being a notable example. Minor scrotal trauma can also lead to a hematoma in individuals with bleeding disorders or those taking blood-thinning medications. The size of the hematoma can vary significantly, from a small lump feeling like a “third testicle” to a much larger mass the size of a grapefruit or cantaloupe.
Key Factors in Healing Duration
The time it takes for a scrotal hematoma to heal varies, largely depending on the amount of blood that needs to be reabsorbed by the body. Small hematomas typically resolve within a month. Conversely, larger hematomas can require a much longer healing period, potentially taking three to five months to fully resolve.
The severity and type of bleeding also influence healing. Rapid and extensive bleeding, particularly from an arterial source, leads to larger hematomas and more severe pain, often noticed within hours of injury. After the initial bleeding stops, the blood clot solidifies over approximately 7 to 14 days before the body begins to slowly dissolve it from the outer surface. Associated injuries to the testes or other scrotal structures can prolong recovery, as the body addresses multiple areas of damage. Overall health also plays a role; individuals with clotting disorders or those on blood-thinning medications may experience slower resolution or increased risk of larger hematomas.
Supporting Your Recovery
Managing a scrotal hematoma during the healing process involves several practical at-home care methods focused on reducing discomfort and promoting reabsorption. Rest is important, especially in the initial phase, to prevent further injury and allow the body to focus on healing. Applying ice packs to the affected area can help reduce swelling and alleviate pain. Ice should typically be applied for 15-20 minutes at a time, several times a day.
Elevation of the scrotum can also assist in reducing swelling by promoting fluid drainage. Wearing supportive underwear, such as an athletic supporter, helps to stabilize the scrotum and minimize movement, which can lessen pain and discomfort. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can be used to manage pain. Following specific instructions from a healthcare provider is essential, as they may recommend additional measures or specific medications tailored to the individual’s condition.
Recognizing When to Get Medical Help
While many scrotal hematomas resolve with self-care, certain symptoms indicate the need for professional medical attention. Increasing pain that does not improve with over-the-counter pain relievers suggests a more serious underlying issue. Swelling that worsens or continues to increase over time, rather than gradually decreasing, is another concerning sign.
Other red flags include the development of a fever, which can signal an infection within the hematoma or surrounding tissues. Redness, warmth, or the presence of pus in the scrotal area also point towards an infection and warrant immediate consultation. Difficulty urinating can indicate significant swelling or pressure affecting the urinary tract. Any rapid change in the hematoma’s color, especially becoming very dark, could suggest continued bleeding or other complications that require prompt medical evaluation.