A 28-year-old man presents with sudden onset severe scrotal pain and swelling on the right side for 3 hours. The testis is tender and high-riding with...

Question

A 28-year-old man presents with sudden onset severe scrotal pain and swelling on the right side for 3 hours. The testis is tender and high-riding with an absent cremasteric reflex. What is the most appropriate management?

Accepted Answer

Urgent surgical exploration of the scrotum.

Answer

Arrange Doppler ultrasound and treat with antibiotics if blood flow is normal.

Answer

Provide analgesia and review in 24 hours.

Answer

Start oral Flucloxacillin for suspected epididymo-orchitis.

Answer

Advise scrotal support and NSAIDs only.

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

A 28-year-old man presents with sudden onset severe scrotal pain and swelling on the right side for 3 hours. The testis is tender and high-riding with an absent cremasteric reflex. What is the most appropriate management?