In simple words: A twisted testicle occurs when the cord that supplies blood to the testicle twists, cutting off its blood supply. This causes sudden, severe pain and swelling in the scrotum and requires immediate medical attention.

Torsion of testis is a condition where the spermatic cord, which provides blood supply to the testicle, twists. This twisting cuts off the blood flow to the testicle and can cause severe pain and swelling. It's considered a medical emergency, and prompt treatment is needed to prevent permanent damage.

Example 1: A 15-year-old male presents to the emergency room with sudden onset of severe left testicular pain and swelling. Physical examination reveals a tender, high-riding testicle with absent cremasteric reflex.Doppler ultrasound confirms decreased blood flow to the testicle, consistent with torsion., A 20-year-old male wakes up with mild scrotal discomfort and notices his left testicle is slightly swollen. Throughout the day, the pain intensifies, prompting him to seek medical care. Examination and ultrasound suggest intermittent testicular torsion., A newborn male is examined shortly after birth, and the physician notes an abnormally positioned testicle.Further investigation reveals a twisted spermatic cord, indicating neonatal testicular torsion.

Documentation for testicular torsion should include details of the onset, severity, and location of pain, findings from the physical examination (including presence or absence of cremasteric reflex), and results of imaging studies (usually Doppler ultrasound). Operative reports should describe the surgical procedure performed to correct the torsion.