A 12-year-old boy has sudden onset left testicular pain. He has no urinary symptoms. The testis lies high and transversely. What is the next step?
Answer and explanation
Correct answer: B. Urgent surgical exploration without waiting for imaging
- Step 1: This is a testicular torsion presentation.
- Step 2: Salvage declines after about 6 hours.
Answer
Urgent surgical exploration without waiting for imaging.
Why not the others: A scrotal ultrasound booked within a week: A week's delay causes infarction. Oral antibiotics for seven days and review: Antibiotics do not treat torsion. Reassurance and simple analgesia: Analgesia alone leaves the testis ischaemic.
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