Question

A 16-year-old boy presents with a painful swollen scrotum of 4 hours duration. The testis is high-riding and tender, with absent cremasteric reflex. What is the most appropriate management?

Accepted Answer

Urgent surgical exploration for suspected testicular torsion

Answer

Arrange urgent Doppler ultrasound and await results before surgery

Answer

Provide analgesia and review the next day

Answer

Treat with antibiotics for epididymo-orchitis

Answer

Reassure; likely minor trauma

Practice question

A 16-year-old boy presents with a painful swollen scrotum of 4 hours duration. The testis is high-riding and tender, with absent cremasteric reflex. What is the most appropriate management?