Sudden and severe pain in the scrotum Swelling of the scrotum Abdominal pain Nausea and vomiting Higher testicle position than normal Testicle positioning at an unusual angle Painful urination Fever[3] X Research source

Check to see if you or another person has cell phone reception. This can be a particular problem in the wilderness. Getting to the highest point visible may help you. If you or no else has phone reception, get to the nearest ranger station. Rangers often have satellite phones and medical equipment that may help comfort you while you wait for emergency medical personnel. Testicular torsion requires medical treatment and often surgery, so it’s vital that you contact medical personnel as soon as possible. [6] X Trustworthy Source Cleveland Clinic Educational website from one of the world’s leading hospitals Go to source

Take aspirin, acetaminophen, ibuprofen, or naproxen sodium for the pain. Ibuprofen or naproxen sodium may help relieve related swelling.

Wrap a towel or other fabric around the affected testicle. You may need to secure this to your body in order to maintain stability. Keeping the testicle secure and restricting movement can alleviate some of the pain experienced when walking or sitting.

Before you move to a ranger station or another more secure location in the wilderness, rest for a bit. This may help calm you down as well.

Walk on ground that is as level as possible and take care with each step. If you are with others, ask them to support you while you walk.

If you are taking a pain reliever, only drink enough to get the pill into your system.

Place your testicles in your hands as though you are holding a book. Turn your testicles from the midline of your body towards the outside, or medial to lateral sides. [13] X Trustworthy Source American Academy of Family Physicians Organization devoted to improving the health of patients, families, and communities Go to source Use an action that is similar to opening a book. [14] X Trustworthy Source American Academy of Family Physicians Organization devoted to improving the health of patients, families, and communities Go to source If manual detorsion is too painful or your experience symptoms such as vomiting or fainting, discontinue the procedure immediately. Manual detorsion doesn’t replace getting proper medical attention. [15] X Trustworthy Source American Academy of Family Physicians Organization devoted to improving the health of patients, families, and communities Go to source Successful detorsion is marked by reduction in pain and lower position of the testes in the scrotum.

Age. Torsion is most common in babies and at the onset of puberty. [17] X Research source Defects to the connective tissue in the scrotum. [18] X Research source Injury to the scrotum. [19] X Research source Family history[20] X Research source Prior cases of torsion[21] X Research source

Wear an athletic cup whenever you play contact sports such as football or soccer. [24] X Research source Wear either “tighty whiteys” (briefs) or boxer-briefs to help support your testicles and minimize the risk of your testicles rotating. [25] X Trustworthy Source Mayo Clinic Educational website from one of the world’s leading hospitals Go to source Wear underwear while you sleep.

If you are a runner or play sports that involve a lot of running, consider wearing more supportive undergarments to minimize your risk. Be aware that general physical activity will not cause torsion, as it can occur when you are sitting, standing, sleeping, or doing exercise. [27] X Research source In fact, a typical presentation of torsion is to be awoken in the early morning or at night with scrotal pain.

Try not to sit on cold surfaces, especially during the winter. You might want to avoid other surfaces that don’t conduct as much heat, such as rocks or stones. [29] X Trustworthy Source Mayo Clinic Educational website from one of the world’s leading hospitals Go to source If you are out in the wilderness during the winter, make sure to wear proper clothing to keep your testicles from getting cold. Wear pants and supportive underwear that keep your testicles close to your body.

The surgical procedure, which requires staying in the hospital, will attach both sides of your testicles to the inside of the scrotum. [31] X Trustworthy Source PubMed Central Journal archive from the U. S. National Institutes of Health Go to source See a urologist, who is a specialist for male genitalia, to discuss your options. [32] X Research source