UROLOGY · MEMBERSHIP SURGERY

Testicular torsion — 15M, 4h scrotal pain

10 decision points ~18 min Difficulty 4/5 Membership

Setting

You are the surgical registrar on-call at a district hospital. It is Saturday 04:00. Emergency theatre and one general anaesthetist are available. Doppler ultrasound is not available until 08:00.

Patient

Master K, a 15-year-old schoolboy, presents with 4 hours of severe left scrotal pain that woke him from sleep. He vomited once. No trauma, no fever, no dysuria. Vitals normal. Left hemiscrotum is swollen, high-riding, exquisitely tender, with a horizontal lie and absent cremasteric reflex. The right testis is normal.

Reference stack

Bailey & Love 28e Ch 76 · Sabiston 21e Ch 71 · EAU 2020 paediatric urology · AUA testis torsion consensus

Start cascade →

You'll be asked to decide what happens next at each step. There's no timer — take your time. The correct answer + evidence-anchored rationale is revealed after each choice.