Used when the situation is remarkably more exciting than usual, or when there is simply not enough time and one is trying to convey their approval in quick, orderly fashion.
If there is a healthy amount of time for a response.
Excessive adding of the letter W is acceptable but not necessary.
It is said of the situation where a person has the bad luck to make contact with his testicles against an undefined surface or object, intentioned or not.
Given the nature of the word, it is more appropriate to design cases where the interaction is made with a moving object, for example, a ball.
Although it is extremely painful for the victim, it tends to be considerably funny to people who witness it.
Today in the baseball game the pitcher took a nutshot; the baseball hit him in the nuts.
Man, I just watched the funniest nutshot video ever.