Is it harmful to fertility to play grabby with classmates' testicles?

Patient's question:

Your son is 11 years old and was playing with classmates when one of them grabbed his testicles. At the time, he tolerated the pain, but three days later, the swelling led him to the hospital for an MRI. The diagnosis confirmed a right testicular contusion with hematoma, with the possibility of a tear being ruled out. He underwent surgery. I am worried that this might affect his future growth and development, as well as his fertility. Thank you.

Doctor's answer:

Testicular contusion may cause swelling later on. However, the probability is low. If there is no swelling, it will have no impact on fertility. Even if the injured side swells later, since the testicles are bilateral, having one normal side is sufficient for normal fertility. The condition can be relieved, but the treatment period is usually long, and it is prone to recurrence after treatment. Therefore, active cooperation with the doctor and proper medication are essential during treatment. Additionally, patients should avoid prolonged sitting or riding and pay attention to personal hygiene.

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