The evaluation of a testicular torsion begins with a history and physical exam.

Physical findings in a male with testicular torsion may include:

• Testicle may lie higher in the scrotum than the other testicle
• Testicle may lie more horizontally in the scrotum than the other testicle
• Testicular lump
• Testicular swelling
• Testicular tenderness
• Scrotal bruise
• Scrotum swelling

Tests are necessary to make the diagnosis of testicular torsion.

Tests that may be used to evaluate testicular torsion include:

• Urinalysis
• Doppler ultrasound scan of the scrotum
• Testicular scan