Question

A 28-year-old man presents with acute onset scrotal pain and swelling. On examination, the right testis is high-riding and lying transversely. The cremasteric reflex is absent on the right side. What is the most urgent management?

Accepted Answer

Immediate surgical exploration

Answer

Urgent ultrasound scrotum

Answer

Empirical antibiotics for epididymo-orchitis

Answer

Analgesia and review in 24 hours

Answer

Manual detorsion attempt followed by ultrasound

Practice question

A 28-year-old man presents with acute onset scrotal pain and swelling. On examination, the right testis is high-riding and lying transversely. The cremasteric reflex is absent on the right side. What is the most urgent management?