Signs and symptoms of testicular torsion include:
- Sudden, severe pain in the scrotum — the loose bag of skin under your penis that contains the testicles
- Swelling of the scrotum
- Abdominal pain
- Nausea and vomiting
- A testicle that's positioned higher than normal or at an unusual angle
- Painful urination
Young boys who have testicular torsion typically wake up due to scrotal pain in the middle of the night or in the morning.
When to see a doctor
Seek emergency care for sudden or severe testicle pain. Prompt treatment can prevent severe damage or loss of your testicle if you have testicular torsion.
You also need to seek prompt medical help if you've had sudden testicle pain that goes away without treatment. This can occur when a testicle twists and then untwists on its own (intermittent torsion and detorsion). Surgery is frequently needed to prevent the problem from happening again.
March 12, 2015
- Wein AJ, et al. Abnormalities of the testis and scrotum and their surgical management. In: Campbell-Walsh Urology. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.clinicalkey.com. Accessed Feb. 13, 2015.
- Somani BK, et al. Testicular torsion. BMJ. 2010;341:c3213.
- Cubillos J, et al. Familial testicular torsion. Journal of Urology. 2011;185:2469.
- Hittelman AB. Neonatal testicular torsion. http://www.uptodate.com/home. Accessed Feb. 16, 2015.
- Snyder HM, et al. In utero/neonatal torsion: Observation versus prompt exploration. Journal of Urology. 2010;183:1675.
- Roth CC, et al. Salvage of bilateral asynchronous perinatal testicular torsion. Journal of Urology. 2011;185:2464.
- Eyre RC. Evaluation of the acute scrotum in adults. http://www.uptodate.com/home. Accessed Feb. 16, 2015.
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