Seek emergency medical care immediately
Call emergency services or go to the nearest emergency department now
Do not wait for pain to improve
Do not try to treat it at home
Do not eat or drink if surgery may be needed
Keep the person still and comfortable while traveling
Support the scrotum with a rolled towel if it reduces pain
Remove tight clothing if possible
A doctor must manually untwist or surgically untwist the testicle
Surgery is usually needed to prevent permanent damage
The affected testicle may need to be fixed in place to prevent recurrence
The other testicle is often fixed as well
Get urgent care even if pain improves suddenly