A 17-year-old boy presents with acute onset severe unilateral testicular pain and swelling for 3 hours. The testis is high-riding with absent cremaste...

Question

A 17-year-old boy presents with acute onset severe unilateral testicular pain and swelling for 3 hours. The testis is high-riding with absent cremasteric reflex. What is the most appropriate management?

Accepted Answer

Urgent surgical exploration of the testis

Answer

Order scrotal ultrasound and await results before treatment

Answer

Provide analgesia and review in 24 hours

Answer

Start oral antibiotics for presumed epididymitis

Answer

Order urine culture and discharge

ca-mccqe1 MCQ (SBA): Testicular torsion

A 17-year-old boy presents with acute onset severe unilateral testicular pain and swelling for 3 hours. The testis is high-riding with absent cremasteric reflex. What is the most appropriate management?