What type of follow-up should be provided for a 10-year-old boy suspected of having testicular torsion?

In cases of suspected testicular torsion, prompt medical intervention is crucial due to the risk of irreversible testicular damage. Testicular torsion involves the twisting of the spermatic cord, which can cut off blood supply to the testicle, leading to tissue necrosis if not addressed quickly. If torsion is confirmed, surgical intervention is often needed within a few hours to save the testicle.

Referring the patient to the emergency department as soon as possible ensures he receives immediate evaluation and treatment. Time is of the essence in these situations, and delays in treatment can significantly increase the chances of complications, including loss of the affected testicle.

Other options, while they may address certain symptoms or concerns, do not adequately prioritize the immediacy and necessity of surgical evaluation for a suspected torsion. For example, prescribing ibuprofen would not address the underlying condition and could delay necessary intervention. A referral to a urologist within 48 hours might be too late if torsion is indeed present, as the window for effective treatment is much shorter. Ordering a testicular ultrasound may assist in diagnosis, but it is not a substitute for immediate surgical consultation and intervention in cases where torsion is suspected.