Retractile testicle (1686)
Key points below
What is a retractile testicle?
A testicle that may move up in the groin is a retractile testicle. It can be brought down into the scrotum and stay there.What causes a retractile testicle?
A strong cremasteric reflex can cause retractile testicles.
- When the cremasteric muscle contracts, the testicle is pulled up into the groin.
- When the muscle relaxes, the testicle moves back into the scrotum.
When does this usually happen?
In some boys, the reflex is very strong. It may be happen from temperature changes or feeling stress and worry. It is more common between birth and 10 years old.
What are the signs and symptoms?
- You might notice that one or both of your child’s testicles are not in his scrotum.
- This does not cause pain.
– If your child has retractile testicle that does become painful they should be seen at an Emergency Room.
What is my child’s provider watching for?
- The provider wants to make sure the testicle stays permanently down in the scrotum.
- In some boys, the testicle will go back up in the groin, and stay there. This is called an ascended testicle. This is not common but is why it is important to keep your follow up checkups.
How will the provider examine my child?
- Your child's provider will check your child in different positions. One position is sitting cross-legged, like "crisscross applesauce" or "pretzel leg".
- It is best if your child is relaxed for the exam.
How is it treated?
- Your child will have checkups to monitor the retractile testicle.
- Your child will not usually need surgery unless the testicle permanently stays up in the groin when they are older.
Are there other risks?
- Retractile testicles are not the same as undescended testicles.
- Retractile testicles do not have risks like cancer or issues with fertility.