A 17-year-old boy presents with a swollen, painful scrotum of 2 hours' duration. The testis is high-riding and horizontally oriented; cremasteric refl...

Question

A 17-year-old boy presents with a swollen, painful scrotum of 2 hours' duration. The testis is high-riding and horizontally oriented; cremasteric reflex is absent. According to Canadian paediatric urology practice, what is the most appropriate next step?

Accepted Answer

Urgent surgical exploration for suspected testicular torsion

Answer

Arrange urgent Doppler ultrasound and delay surgery until results

Answer

Provide analgesia and observe for 24 hours

Answer

Treat empirically for epididymitis with antibiotics

Answer

Order CT scan of the pelvis

ca-mccqe1 MCQ (SBA): Testicular torsion

A 17-year-old boy presents with a swollen, painful scrotum of 2 hours' duration. The testis is high-riding and horizontally oriented; cremasteric reflex is absent. According to Canadian paediatric urology practice, what is the most appropriate next step?