A 37-year-old man presents with sudden severe left-sided testicular pain and swelling that began 2 hours ago. The testis is tender and high-riding wit...

Question

A 37-year-old man presents with sudden severe left-sided testicular pain and swelling that began 2 hours ago. The testis is tender and high-riding with an absent cremasteric reflex. What is the most appropriate management?

Accepted Answer

Immediate surgical exploration without waiting for imaging

Answer

Urgent scrotal ultrasound and urology review; proceed to exploration if torsion confirmed

Answer

Empirical antibiotics for epididymo-orchitis and review in 48 hours

Answer

Reassure and discharge with analgesia

Answer

Refer for elective urology review in 2 weeks

au-amc MCQ (SBA): Testicular torsion

A 37-year-old man presents with sudden severe left-sided testicular pain and swelling that began 2 hours ago. The testis is tender and high-riding with an absent cremasteric reflex. What is the most appropriate management?