1st April 2022

A 15-year-old boy is brought into A&E after waking suddenly in the night with severe pain in the right scrotum

A 15-year-old boy is brought into A&E after waking suddenly in the night with severe pain in the right scrotum. He was too embarrassed to tell his parents, but when his mother found him still vomiting, looking generally unwell and in pain in the morning, she immediately called an ambulance. The boy gives a history that the pain started about 8 hours ago. He says he has had a few episodes of similar pain that lasted only a few minutes in the past. On examination, the scrotum is swollen, erythematous and tender. A diagnosis of testicular torsion is made, and he is referred for urgent surgical exploration. In surgery, the testicle appears necrotic.

What management would be required?

Select the SINGLE most appropriate option from the list below. Select ONE option only.