Regarding testicular torsion all are true EXCEPT

(B) Immediate management is mainly medical and surgery indicated later # Treatment of Torsion of testes: The first hour or so it may be possible to untwist testis by gentle manipulation> If manipulation is successful pain subsides & the testis is out of danger.> Arrangements should be made for early operative fixation to avoid recurrent torsion.> Torsion of a testicular appendage is sometimes mistaken for acute epididymo-orchitis and cannot be distinguished with certainty from testicular torsion.> The most common structure to twist is the appendix of the testis (the pedunculated hydatid of Morgagni) but other vestigial structures related to the testis and epididymis may also rotate> Immediate operation with ligation and amputation of the twisted appendage cures the condition> It is usually unilateral> Not associated with dysuria