A 33-year-old man presents with severe left testicular pain of 3 hours' duration. The testis is high-riding with a horizontal lie, and the cremasteric...

Question

A 33-year-old man presents with severe left testicular pain of 3 hours' duration. The testis is high-riding with a horizontal lie, and the cremasteric reflex is absent. What is the most appropriate next step?

Accepted Answer

Immediate surgical exploration and detorsion of the testis

Answer

Scrotal ultrasound with Doppler before any other intervention

Answer

Empiric antibiotics for presumed epididymo-orchitis

Answer

Reassure and review in 24 hours

Answer

Manual detorsion in the office and discharge without surgical referral

ca-mccqe1 MCQ (SBA): Testicular torsion management

A 33-year-old man presents with severe left testicular pain of 3 hours' duration. The testis is high-riding with a horizontal lie, and the cremasteric reflex is absent. What is the most appropriate next step?