A 21-year-old man presents with acute onset right testicular pain and swelling for 3 hours. The testis is high-riding and horizontally oriented; crema...

Question

A 21-year-old man presents with acute onset right testicular pain and swelling for 3 hours. The testis is high-riding and horizontally oriented; cremasteric reflex is absent. What is the most appropriate management?

Accepted Answer

Immediate surgical exploration for suspected testicular torsion

Answer

Urgent colour Doppler ultrasound and await report before action

Answer

Empirical antibiotics for presumed epididymo-orchitis

Answer

Scrotal elevation and NSAIDs with review in 24 hours

Answer

Arrange outpatient urology review within a week

au-amc MCQ (SBA): Testicular torsion management

A 21-year-old man presents with acute onset right testicular pain and swelling for 3 hours. The testis is high-riding and horizontally oriented; cremasteric reflex is absent. What is the most appropriate management?