Which four symptoms indicate testicular torsion?

Updated: Oct 30, 2020
  • Author: Oreoluwa I Ogunyemi, MD; Chief Editor: Edward David Kim, MD, FACS  more...
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In one study of 523 patients presenting to the ED with acute scrotum, no single clinical finding had 100% sensitivity for the presence of testicular torsion, but all patients with testicular torsion had one or more of the following [12] :

  • Nausea or vomiting

  • Pain duration of less than 24 hours

  • High position of the testis

  • Abnormal cremasteric reflex

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