A 25-year-old male presents at a sporting event with acute testicular pain. On examination, you perform Prehn's test - elevating the scrotum. The pain...

Question

A 25-year-old male presents at a sporting event with acute testicular pain. On examination, you perform Prehn's test - elevating the scrotum. The pain is relieved by elevation. What does a positive Prehn's sign suggest?

Accepted Answer

Epididymo-orchitis - pain relief with scrotal elevation suggests an inflammatory rather than ischaemic cause (though this test has limited specificity and should not be relied upon to exclude torsion)

Answer

Prehn's sign is only valid in females

Answer

A positive Prehn's sign indicates a normal testicle

Answer

The test is 100% specific and excludes torsion definitively

Answer

Testicular torsion - torsion always improves with elevation

uk-dipimc MCQ (SBA): Prehn's Test - Limitations

A 25-year-old male presents at a sporting event with acute testicular pain. On examination, you perform Prehn's test - elevating the scrotum. The pain is relieved by elevation. What does a positive Prehn's sign suggest?