Patient history is important to distinguish torsion of the testicular appendages from testicular torsion and other causes of acute scrotum. Pain Onset usually is acute but may develop over time. Intensity ranges from mild to severe. Patients may endure pain for several days before seeking medical attention. Location of pain is 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. Generally an unreliable marker of pathology, the cremasteric reflex usually is present.