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1/4000 men have this occur, though it is considered not uncommon for some reason
The testicle is only considered salvageable within 6-8 hours, so don’t ‘wait till after work’, if you do, it may need to be removed. If it’s been longer than 24 hours, testicular necrosis begins, in other words, it starts rotting (cellular necrosis).
If you would like to try temporary alleviation, you can try a manual detortion:
With torsion of the left testis, hold the testicle with the right thumb and forefinger and then rotate the testicle clockwise 180 degrees. This manipulation may need to be repeated 2-3 times, because testicular torsion may involve rotations of 180-720 degrees. These repeated attempts should be guided by resolution of pain and return to normal anatomy. For torsion of the right testicle, the procedure is similar except that the testicle is held using the left thumb and forefinger and the testicle is rotated in a counterclockwise direction.
Most commonly the testicle has rotated outward, thus the specific orientation. If pain worsens or doesn’t resolve, go see a physician or urologist as soon as possible.
