{"id":56187,"date":"2025-08-06T18:00:36","date_gmt":"2025-08-06T12:30:36","guid":{"rendered":"https:\/\/www.healthkart.com\/connect\/?p=56187"},"modified":"2025-08-07T11:18:01","modified_gmt":"2025-08-07T05:48:01","slug":"testicular-torsion-symptoms","status":"publish","type":"post","link":"https:\/\/www.healthkart.com\/connect\/testicular-torsion-symptoms\/","title":{"rendered":"Testicular Torsion Symptoms: What Are the Causes and How to Treat It?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Testicular torsion is a serious medical issue that can affect males at any age. In this condition, one or both testicles rotate inside the scrotum, causing the connected spermatic cord to get twisted. Testicular torsion symptoms include pain in the scrotum, swelling, and extreme discomfort. It is common between the ages of 12 and 18.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Testicular torsion requires emergency treatment<\/span><span style=\"font-weight: 400;\">; otherwise, <\/span><span style=\"font-weight: 400;\">it can lead to permanent damage to the <\/span><span style=\"font-weight: 400;\">testicle<\/span><span style=\"font-weight: 400;\">. Read more to know more about the signs of testicular torsion and ways to prevent and treat it.<\/span><\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_81 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.healthkart.com\/connect\/testicular-torsion-symptoms\/#How_Does_Testicular_Torsion_Happen\" >How Does Testicular Torsion Happen?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.healthkart.com\/connect\/testicular-torsion-symptoms\/#Common_Testicular_Torsion_Symptoms\" >Common Testicular Torsion Symptoms<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.healthkart.com\/connect\/testicular-torsion-symptoms\/#1_Sharp_Pain_in_One_or_Both_Testicles\" >1. Sharp Pain in One or Both Testicles<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.healthkart.com\/connect\/testicular-torsion-symptoms\/#2_Swelling_and_Tenderness\" >2. Swelling and Tenderness<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.healthkart.com\/connect\/testicular-torsion-symptoms\/#3_Nausea_and_Vomiting\" >3. Nausea and Vomiting<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.healthkart.com\/connect\/testicular-torsion-symptoms\/#4_Lower_Abdominal_Pain\" >4. Lower Abdominal Pain<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.healthkart.com\/connect\/testicular-torsion-symptoms\/#What_Causes_Testicular_Torsion\" >What Causes Testicular Torsion?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.healthkart.com\/connect\/testicular-torsion-symptoms\/#The_TWIST_Test_for_Testicular_Torsion_Severity\" >The TWIST Test for Testicular Torsion Severity<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.healthkart.com\/connect\/testicular-torsion-symptoms\/#Testicular_Torsion_Treatment\" >Testicular Torsion Treatment<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.healthkart.com\/connect\/testicular-torsion-symptoms\/#How_to_Prevent_Testicular_Torsion\" >How to Prevent Testicular Torsion?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/www.healthkart.com\/connect\/testicular-torsion-symptoms\/#To_Sum_Up\" >To Sum Up<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"How_Does_Testicular_Torsion_Happen\"><\/span><strong>How Does Testicular Torsion Happen?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Inside the scrotum, the two testicles are separately connected to the body through the spermatic cord, a bundle of nerves, ducts, and blood vessels. When this cord twists, blood flow is disrupted, leading to intense pain and swelling, a condition known as testicular torsion.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">How serious is testicular torsion? It is very serious, requiring prompt medical help if the pain continues. It needs to be treated within 4-6 hours of the onset of the testicular pain, as<\/span><span style=\"font-weight: 400;\"> the testicle<\/span><span style=\"font-weight: 400;\"> can be permanently damaged due to a lack of blood supply.<\/span><\/p>\n<p>Now that you know what is testicular torsion, learn about its symptoms in the next section.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Common_Testicular_Torsion_Symptoms\"><\/span><b>Common Testicular Torsion Symptoms<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Testicular torsion symptoms can strike at any time, whether you\u2019re awake or sleeping, active or inactive. You can identify testicular torsion by recognising the following symptoms or taking immediate action:<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-56196\" src=\"https:\/\/connect.healthkart.com\/wp-content\/uploads\/2025\/08\/Image-1-3-400x222.jpg\" alt=\"Common Testicular Torsion Symptoms\" width=\"732\" height=\"406\" srcset=\"https:\/\/connect.healthkart.com\/wp-content\/uploads\/2025\/08\/Image-1-3-400x222.jpg 400w, https:\/\/connect.healthkart.com\/wp-content\/uploads\/2025\/08\/Image-1-3-768x427.jpg 768w, https:\/\/connect.healthkart.com\/wp-content\/uploads\/2025\/08\/Image-1-3.jpg 900w\" sizes=\"auto, (max-width: 732px) 100vw, 732px\" \/><\/p>\n<h3><span class=\"ez-toc-section\" id=\"1_Sharp_Pain_in_One_or_Both_Testicles\"><\/span><b>1. Sharp Pain in One or Both Testicles<\/b><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The testicular torsion pain level is very high. This is the hallmark sign that will cause you to feel sudden, intense pain without any clear cause of injury, so much that you may not be able to rest or do daily activities. The pain is generally in just one testicle, and it\u2019s rare to get congestion in both testes.<\/span><\/p>\n<h3><span class=\"ez-toc-section\" id=\"2_Swelling_and_Tenderness\"><\/span><b>2. Swelling and Tenderness<\/b><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Next, you may experience swelling or tenderness in that area. From the appearance, the affected testicle may appear higher than the other one and seem odd to look at.<\/span><\/p>\n<h3><span class=\"ez-toc-section\" id=\"3_Nausea_and_Vomiting\"><\/span><b>3. Nausea and Vomiting<\/b><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Some may feel nauseous and get the urge to vomit due to the extreme pain and sudden distress.<\/span><\/p>\n<h3><span class=\"ez-toc-section\" id=\"4_Lower_Abdominal_Pain\"><\/span><b>4. Lower Abdominal Pain<\/b><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The pain may radiate to the lower abdomen. This can make it easy to confuse with other conditions like appendicitis or a hernia.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_Causes_Testicular_Torsion\"><\/span><b>What Causes Testicular Torsion?<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>While testicular torsion can happen to anyone, there are certain testicular torsion causes that increase risk:<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-56197\" src=\"https:\/\/connect.healthkart.com\/wp-content\/uploads\/2025\/08\/Image-2-400x311.jpg\" alt=\"What Causes Testicular Torsion?\" width=\"724\" height=\"563\" srcset=\"https:\/\/connect.healthkart.com\/wp-content\/uploads\/2025\/08\/Image-2-400x311.jpg 400w, https:\/\/connect.healthkart.com\/wp-content\/uploads\/2025\/08\/Image-2-768x597.jpg 768w, https:\/\/connect.healthkart.com\/wp-content\/uploads\/2025\/08\/Image-2.jpg 900w\" sizes=\"auto, (max-width: 724px) 100vw, 724px\" \/><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Bell-clapper Deformity:<\/b><span style=\"font-weight: 400;\"> This is a congenital condition in which the testicle is not properly attached to the scrotum, increasing its chances of rotation inside the scrotum.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Trauma or Injury: <\/b><span style=\"font-weight: 400;\">An injury to the groin during sports or physical activities, such as jogging, wrestling, or running, can also trigger this torsion.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Cold Temperatures:<\/b><span style=\"font-weight: 400;\"> As per an <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10876364\/\"><span style=\"font-weight: 400;\">NCBI study<\/span><\/a><span style=\"font-weight: 400;\">, hyperactive cremasteric reflex (HCR) in cold weather can cause the testes to retract up into the groin. This can increase the risk of testicular torsion in the winter season compared to other seasons.<\/span><\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-56198\" src=\"https:\/\/connect.healthkart.com\/wp-content\/uploads\/2025\/08\/DYK-16-400x111.jpg\" alt=\"testicular torsion,\" width=\"721\" height=\"200\" srcset=\"https:\/\/connect.healthkart.com\/wp-content\/uploads\/2025\/08\/DYK-16-400x111.jpg 400w, https:\/\/connect.healthkart.com\/wp-content\/uploads\/2025\/08\/DYK-16-768x213.jpg 768w, https:\/\/connect.healthkart.com\/wp-content\/uploads\/2025\/08\/DYK-16.jpg 900w\" sizes=\"auto, (max-width: 721px) 100vw, 721px\" \/><\/p>\n<h2><span class=\"ez-toc-section\" id=\"The_TWIST_Test_for_Testicular_Torsion_Severity\"><\/span><strong>The TWIST Test for Testicular Torsion Severity<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The TWIST score, or Testicular Workup for Ischemia and Suspected Torsion score, is a clinical tool to decide if you\u2019ve had a torsion. This test reduces the need for unnecessary ultrasounds for<\/span> testicular torsion diagnosis.<\/p>\n<p><span style=\"font-weight: 400;\">Here\u2019s how to get the score:<\/span><\/p>\n<table>\n<tbody>\n<tr>\n<td><b>Clinical Feature<\/b><\/td>\n<td><b>Points<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Testicular swelling<\/span><\/td>\n<td><span style=\"font-weight: 400;\">2<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Hard testicle<\/span><\/td>\n<td><span style=\"font-weight: 400;\">2<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Absent cremasteric reflex<\/span><\/td>\n<td><span style=\"font-weight: 400;\">1<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Nausea or vomiting<\/span><\/td>\n<td><span style=\"font-weight: 400;\">1<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">High-riding testicle<\/span><\/td>\n<td><span style=\"font-weight: 400;\">1<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400;\">Based on your score, here\u2019s how to interpret it for the possibility of a torsion:<\/span><\/p>\n<table>\n<tbody>\n<tr>\n<td><b>Score Range<\/b><\/td>\n<td><b>Risk Level<\/b><\/td>\n<td><b>Interpretation<\/b><\/td>\n<td><b>Recommended Action<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">0\u20132<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Low Risk<\/span><\/td>\n<td><span style=\"font-weight: 400;\">100% negative predictive value for torsion<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No ultrasound or urological consultation is typically required<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">3\u20134<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Intermediate Risk<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Possibility of torsion\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Ultrasound warranted<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">5 or above<\/span><\/td>\n<td><span style=\"font-weight: 400;\">High Risk<\/span><\/td>\n<td><span style=\"font-weight: 400;\">100% positive predictive value for torsion<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No ultrasound needed; urgent urological consultation and surgery to untwist the testis<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400;\">Some people wonder, \u201cCan testicular torsion fix itself?\u201d The answer is no. When you\u2019re diagnosed with this condition, immediate medical evaluation is the safest course of action.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Research shows that if treated within 6 hours of symptom onset, the testicle can be saved in over 90% of cases. A long delay of 12 hours or more increases the risk of losing the testicle by 50% and after 24 hours, it\u2019s almost impossible.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Testicular_Torsion_Treatment\"><\/span><strong>Testicular Torsion Treatment<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Once the diagnosis is done, the only option left to fix is surgery. The doctor gives general anesthesia and starts the procedure of testicular torsion surgery:<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The surgeon will make a small incision in the scrotum to reach the twisted cord.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">They will untwist the cord and attach the testicle to the inside of the scrotum using stitches.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Similarly, the other testicle will also be attached to prevent future problems.<\/span><\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"How_to_Prevent_Testicular_Torsion\"><\/span><b>How to Prevent Testicular Torsion?<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">To prevent future risks, you can opt for earlier surgery to prevent the condition, especially if you have a bell-clapper deformity in one testicle. Wearing protective gear during sports or athletic activities can also help avoid trauma. If you feel any pain or discomfort in the groin area or in the testicles, it is recommended to get prompt treatment.<\/span><\/p>\n<p><strong>Read More: <a href=\"https:\/\/www.healthkart.com\/connect\/vasectomy-operation-the-truth-behind-it\/\">Vasectomy Operation Reversed: How the Procedure Works and What to Expect<\/a><\/strong><\/p>\n<h2><span class=\"ez-toc-section\" id=\"To_Sum_Up\"><\/span><strong>To Sum Up<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Although testicular torsion symptoms are not that common, it is crucial to be aware of them. Do not neglect any signs of these conditions, such as sudden, sharp testicular pain and swelling. Seeking immediate help can be beneficial in preserving fertility and preventing long-term health complications.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Testicular torsion is a serious medical issue that can affect males at any age. In this condition, one or both testicles rotate inside the scrotum, causing the connected spermatic cord to get twisted. Testicular torsion symptoms include pain in the scrotum, swelling, and extreme discomfort. It is common between the ages of 12 and 18. [&hellip;]<\/p>\n","protected":false},"author":204,"featured_media":56194,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[33],"tags":[],"secondary_tag":[],"class_list":{"0":"post-56187","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-fitness-a-to-z","8":"entry"},"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Testicular Torsion Symptoms: Early Signs &amp; What to Do<\/title>\n<meta name=\"description\" content=\"Identify key symptoms of testicular torsion, including sudden pain, swelling, and nausea. 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