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Testicular Torsion Testicular torsion occurs when there is a rotation of the sperm duct that causes the blood supply to the testicle to become obstructed. It is an absolute emergency and must be evaluated and treated by a professional within six hours since that is the maximum time the testicle can be kept without irrigation. After six hours, 90% of the testicles should be removed.
The patient with testicular torsion refers to scrotal pain radiating into the pelvis that starts suddenly, nausea, and vomiting. On examination, one testicle may be found to be higher than the other. It is important to maintain a periodic evaluation of the testicles to see if there is anything different about them. I recommend performing a testicular self-examination by palpating the scrotum for masses and then following the surface of each one. 203
