A 16-year-old boy presents with a painful swollen testis of sudden onset during sport. The scrotum is tender and high-riding on the affected side. Cre...

Question

A 16-year-old boy presents with a painful swollen testis of sudden onset during sport. The scrotum is tender and high-riding on the affected side. Cremasteric reflex is absent. What is the most appropriate management?

Accepted Answer

Urgent surgical exploration for suspected testicular torsion

Answer

Urgent scrotal ultrasound and await report before action

Answer

Immediate manual detorsion in the GP clinic without referral

Answer

Treat as epididymo-orchitis with oral antibiotics and review in 48 hours

Answer

Provide analgesia only and observe

au-amc MCQ (SBA): Testicular torsion

A 16-year-old boy presents with a painful swollen testis of sudden onset during sport. The scrotum is tender and high-riding on the affected side. Cremasteric reflex is absent. What is the most appropriate management?