A 29-year-old man presents with acute onset left testicular pain of 3 hours’ duration. The testis is high-riding and very tender; the cremasteric refl...

Question

A 29-year-old man presents with acute onset left testicular pain of 3 hours’ duration. The testis is high-riding and very tender; the cremasteric reflex is absent. What is the most appropriate management?

Accepted Answer

Urgent surgical exploration of the scrotum

Answer

Arrange urgent scrotal ultrasound and wait for the result before referral

Answer

Give analgesia and review in 24 hours

Answer

Treat with oral antibiotics for epididymo-orchitis

Answer

Order a CT scan of the abdomen and pelvis

uk-plab-1 MCQ (SBA): Testicular torsion

A 29-year-old man presents with acute onset left testicular pain of 3 hours’ duration. The testis is high-riding and very tender; the cremasteric reflex is absent. What is the most appropriate management?