Sudden testicular pain
Immediate assessment, even if pain improves, particularly with nausea.
Read the guideEmergencies
Signs that should not wait.
For these signs, go to an emergency department or call local emergency services. Do not wait for an appointment or a message from the practice.
Unable to pass urine
A painful or swollen lower abdomen with a full bladder: do not force fluids.
Read the guideFever with kidney-area pain
A stone with infection may need urgent drainage.
Read the guideProlonged erection
Four hours is an emergency; seek help earlier with sickle-cell disease or severe pain.
Read the guideInfection with severe illness
Confusion, breathing difficulty, mottled skin or extreme weakness: call emergency services.
Read the guideBlood clots blocking urine
Or heavy bleeding with faintness: seek emergency assessment.
Read the guideRapidly worsening genital pain
Swelling, fever or perineal skin discoloration: an immediate emergency.
Read the guideVery little urine and feeling unwell
Especially with breathlessness, swelling or confusion.
Read the guideInjury to an erect penis
A snap, pain and sudden loss of erection: do not wait.
Read the guideForeskin trapped behind the glans
With swelling or pain: do not attempt forceful reduction.
Read the guideMajor injury with urinary signs
Blood in urine, flank pain or inability to urinate after an accident.
Read the guideFever in a young infant
Under 3 months with 38°C or more, unusual drowsiness or poor feeding: urgent assessment.
Read the guideThis list offers guidance, not a diagnosis. Severe pain, rapid deterioration or significant concern warrants assessment even if a sign is not listed here.