Pain may be present. Onset usually is acute, but pain may develop over time. Intensity ranges from mild to severe. Patients may endure pain for several days before seeking medical attention. The pain is located in the superior pole of the testicle.
Systemic symptoms are absent.
Nausea and vomiting usually are not associated with this condition. Urinary symptoms are absent. Dysuria and pyuria are not associated with torsion of the testicular appendages. Their presence is more indicative of epididymitis. Although the scrotum may be erythematous and edematous, it usually appears normal.