Question

A 19-year-old man presents with acute onset of unilateral testicular pain and swelling. The testis is high-riding and tender; the cremasteric reflex is absent. What is the most appropriate management?

Accepted Answer

Urgent surgical exploration of the scrotum

Answer

Start oral antibiotics and review in 48 hours

Answer

Urgent scrotal ultrasound within 1 week

Answer

Give NSAIDs and scrotal support

Answer

Reassure that this is likely muscular strain

Practice question

A 19-year-old man presents with acute onset of unilateral testicular pain and swelling. The testis is high-riding and tender; the cremasteric reflex is absent. What is the most appropriate management?