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What is a common symptom associated with torsion of the spermatic cord in adolescents?

  1. Painful urination

  2. Severe testicular pain

  3. Swollen scrotum

  4. Fever

The correct answer is: Severe testicular pain

Severe testicular pain is a hallmark symptom associated with torsion of the spermatic cord in adolescents. This condition occurs when the spermatic cord becomes twisted, cutting off the blood supply to the testicle. The pain is typically sudden and intense, often described by patients as severe and relentless. This acute onset of pain is often accompanied by other symptoms, but the distinguishing feature is the severity of the testicular pain, which usually prompts immediate medical attention. Other symptoms that may arise include nausea and vomiting, and while swelling of the scrotum can occur as a result of the torsion, it is the severe pain that is the most defining characteristic and usually the primary complaint. Painful urination and fever are not typically directly associated with this condition, as they suggest different underlying issues.