Question

A 23-year-old man presents with testicular pain for 3 hours. He denies any trauma. The pain is constant, sharp, and severe and is accompanied by nausea and vomiting. His vital signs are normal, except for a heart rate of 110 beats/min. On examination, there is no swelling, but the left testicle is extremely tender to palpation. The cremasteric reflex is absent. What management is indicated

Answer 1

D.

Step-by-step explanation:

**Torsion recognized within 6 hours of symptom onset is associated with a salvage rate of 80-100%, while a delay of 24 hours or longer is almost always associated with a loss of the testicle. Because of the time-sensitive nature of the disorder, urologic consultation must be immediately obtained as the only definitive way to diagnose and treat testicular torsion is with exploration and detorsion in the operating room.