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A 16 year-old male presents to a tertiary care ED with 12 hours of unilateral testicular pain and one episode of vomiting. On examination the testicle is enlarged, hard, and edematous. You are unable to elicit a cremasteric reflex. Your clinical suspicion for testicular torsion is high. You are advised that the ultrasound technician is unable to perform an ultrasound for another 3 hours. Which of the following options represents the most appropriate management and rationale?
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