Testicular torsion

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Symptoms

By Mayo Clinic staff

Signs and symptoms of testicular torsion include:

  • Sudden or severe pain in one testicle
  • Swelling of the scrotum — a loose bag of skin under your penis that contains your testicles
  • Nausea and vomiting
  • Abdominal pain
  • A testicle that's positioned higher than normal or at an odd angle
  • 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)

When to see a doctor
Seek emergency care for sudden or severe testicle pain. While your signs and symptoms may be caused by another condition, if you do have testicular torsion, prompt treatment can prevent severe damage or loss of your testicle.

You also need to seek prompt medical help if you've had sudden testicle pain that went away without treatment. This occurs when a testicle twists and then untwists on its own (intermittent torsion and detorsion). Even though the testicle untwisted on its own, you still need to see a doctor because surgery is needed to prevent the problem from happening again.

References
  1. Tiemstra JD. Evaluation of scrotal masses. American Family Physician. 2008;78:1165.
  2. Leslie JA, et al. Pediatric urologic emergencies and urgencies. Pediatric Clinics of North America. 2006;53:513.
  3. Schneck FX, et al. Abnormalities of the testes and scrotum and their surgical management. In: Wein AJ, et al. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/das/book/body/171051125-2/913428548/1445/130.html?printi. Accessed Nov. 6, 2009.
  4. Testicular torsion. American Urological Association Foundation. http://www.urologyhealth.org/search/index.cfm?topic=134&search=men&searchtype=and. Accessed Nov. 13, 2009.
  5. Hittelman A. Neonatal testicular torsion. http://www.uptodate.com/home/index.html. Accessed Nov. 3, 2009.
DS01039 Jan. 28, 2010

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