BackgroundThe epidemiology of testicular trauma in sports on a national scale has not been well studied. Timely management and treatment following testicular trauma is critical to avoid serious, long-term ramifications of mismanagement. ObjectivesAnalyze trends in sports-related testicular trauma based on specific sports and patient demographics and over time. MethodsThe National Electronic Injury Surveillance System (NEISS) was queried for Emergency Department (ED) cases between 2012 and 2021 with injuries in the pubic region related to 10 commonly played sports. Variables examined included patient age, race, disposition, and sport using incidence rate, incidence rate ratios, and chi square analysis. ResultsThere were an estimated 28,844 ED cases of sports-related testicular trauma between 2012-2021. Young patients, between 10-14 and 15-19 years old, accounted for a majority of cases, and chi-square analysis showed a significant difference in incidence based on age group (p<0.01). A majority of injuries occurred while athletes played basketball, football, and soccer (73.6%). ConclusionSports related testicular trauma injury rates have remained steady between 2012 and 2021, which suggests greater efforts are necessary to reduce the incidence of sports-related testicular trauma. Education efforts should focus on 10-19 year-olds since they have the highest incidence. Given high incidence in sports like basketball and soccer compared to football and lacrosse, testicular trauma seems to be a risk for athletes competing both recreationally and competitively.