2 doctors weighed in:

How long should there be pain in the testicle after testicular torsion reversal?

2 doctors weighed in
Dr. George Klauber
Pediatrics - Urology

In brief: Very little time.

If pain persists after manual testicular detorsion you must be concerned that spermatic cord has not been completely untwisted.
Possible to get some relief after partial detorsion when cord is still 180 degrees twisted. Testicular pain should be much relieved by the time the anesthetic has worn off after surgical detorsion, and pain gone within a 2 - 3 days. Will be tender for a few more days.

In brief: Very little time.

If pain persists after manual testicular detorsion you must be concerned that spermatic cord has not been completely untwisted.
Possible to get some relief after partial detorsion when cord is still 180 degrees twisted. Testicular pain should be much relieved by the time the anesthetic has worn off after surgical detorsion, and pain gone within a 2 - 3 days. Will be tender for a few more days.
Dr. George Klauber
Dr. George Klauber
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In brief: Post-detorsion pain

Depend on the duration/severity of the torsion and the success/completeness of the detorsion.
The majority of the pain should be relieved immediately by detorsion. Any residual ischemia/inflammation/swelling may last for up to a day or two. Persistent pain longer than 2 days after detorsion may suggest an underlying infection or necrosis of the testes.

In brief: Post-detorsion pain

Depend on the duration/severity of the torsion and the success/completeness of the detorsion.
The majority of the pain should be relieved immediately by detorsion. Any residual ischemia/inflammation/swelling may last for up to a day or two. Persistent pain longer than 2 days after detorsion may suggest an underlying infection or necrosis of the testes.
Dr. Stephen Chinn
Dr. Stephen Chinn
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