A 14-year-old boy presents with sudden-onset scrotal pain and nausea. The right testis is high-riding and tender with absent cremasteric reflex. Accor...

Question

A 14-year-old boy presents with sudden-onset scrotal pain and nausea. The right testis is high-riding and tender with absent cremasteric reflex. According to urological emergency principles, what is the most appropriate management?

Accepted Answer

Immediate surgical exploration for suspected testicular torsion

Answer

Urgent scrotal ultrasound and wait for report before any other action

Answer

Treat as epididymitis with oral antibiotics

Answer

Apply ice and observe for 24 hours

Answer

Arrange outpatient urology review in 1 week

au-amc MCQ (SBA): Testicular torsion

A 14-year-old boy presents with sudden-onset scrotal pain and nausea. The right testis is high-riding and tender with absent cremasteric reflex. According to urological emergency principles, what is the most appropriate management?