Question

A 19-year-old man presents with acute onset unilateral testicular pain and swelling. Doppler ultrasound confirms testicular torsion. What is the most appropriate management?

Accepted Answer

Urgent surgical exploration and orchidopexy of both testes

Answer

Urgent manual detorsion in the emergency department followed by elective surgery

Answer

Oral antibiotics and scrotal support

Answer

Ultrasound-guided aspiration of the testis

Answer

Reassure and review if pain persists

Practice question

A 19-year-old man presents with acute onset unilateral testicular pain and swelling. Doppler ultrasound confirms testicular torsion. What is the most appropriate management?