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Home › Articles › Sudden severe testicle pain: is it torsion?

Testicular torsion

Sudden severe testicle pain: is it torsion?

Sudden, severe testicle pain is an emergency.

Short version

It may be torsion, a twisted testicle that cuts off blood flow. Time matters to save it.

A closer look

Don't wait to see if it passes.

Close to home in Pickens

Our Jasper Clinic on Gordon Rd offers Pickens County patients visits, lab work and testing.

Afterward, book a follow-up visit with Advanced Urology.

Call (678) 344-8900 Book a visit online

Right now

Sudden, severe testicle pain, especially with swelling, nausea or a testicle that sits higher than usual, needs an emergency room right away. Torsion cuts off blood supply, and timing matters for saving the testicle.

After emergency care

Pickens County men can follow up at our Jasper Clinic with Dr. Chirag Dave, Dr. Jason Lomboy or Britany Howard, FNP. We'll check healing after surgery, review any ultrasound results and answer questions about fertility and the other testicle.

Other causes we consider

Infection of the epididymis, a kidney stone sending pain to the groin, or injury can mimic torsion. An ultrasound helps tell them apart, but if torsion is suspected, surgery shouldn't wait for testing.

Call us about

  • Fever after surgery
  • Swelling that keeps increasing
  • A new lump in the testicle

Common questions

What does surgery involve?

Through a small cut in the scrotum, the testicle is untwisted and stitched in place, and the other side is usually secured too. If the testicle has gone too long without blood supply, it may need to be removed.

Jasper and Nelson families can call (678) 344-8900 for follow-up.

Why speed matters

Torsion twists the spermatic cord and blocks blood flow to the testicle. The longer the blood supply is cut off, the harder it becomes to save the testicle, so don't wait to see whether pain settles on its own and don't drive yourself if pain is severe. Torsion is most common in teens and young men but can happen at any age, sometimes after activity or even during sleep. Pain that comes and goes may mean the testicle twisted and untwisted, which still deserves a prompt visit.

Parents of teenage boys should know these signs too, since young men may hesitate to mention testicle pain.

Follow-up visits in Jasper check healing and answer questions as recovery continues.

More to read

Videos from Advanced Urology

#015 - April is Testicular Cancer Awareness Month – Know the Signs, Get Checked, Stay Healthy What the video covers: A Testicular Cancer Awareness Month episode on who is at risk, how to do a self-exam, warning signs, diagnosis, treatment and recovery. Watch on YouTube

Videos play here from Advanced Urology’s YouTube channel, using YouTube’s privacy-enhanced mode.

Where can I go from here?

Start with the condition page, then call or book online whenever you are ready.

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