A 24-year-old man presents with a sudden onset of severe testicular pain that started 2 hours ago. He also feels nauseous. On examination, the left te...

Question

A 24-year-old man presents with a sudden onset of severe testicular pain that started 2 hours ago. He also feels nauseous. On examination, the left testis is high-riding, exquisitely tender, and swollen. The cremasteric reflex is absent on the left side. What is the most appropriate immediate action?

Accepted Answer

Urgent surgical exploration

Answer

Arrange urgent Doppler ultrasound of the testes

Answer

Administer intravenous antibiotics

Answer

Perform manual detorsion if trained

Answer

Prescribe oral analgesia and advise scrotal support

ukmla MCQ (SBA): Testicular Torsion