Question

A 30-year-old man presents with acute onset severe left testicular pain and swelling. The testis is high-riding and tender, and the cremasteric reflex is absent. What is the most appropriate management?

Accepted Answer

Immediate surgical exploration of the scrotum

Answer

Empiric antibiotics and outpatient review

Answer

Urgent scrotal ultrasound only and await report

Answer

Reassure and review in 24 hours

Answer

Provide analgesia only and observe

Practice question

A 30-year-old man presents with acute onset severe left testicular pain and swelling. The testis is high-riding and tender, and the cremasteric reflex is absent. What is the most appropriate management?