Tests and diagnosisBy Mayo Clinic Staff
If your son has a testicle not located in the scrotum, his doctor will determine its location in the groin. Once it's located, the doctor will attempt to guide it gently into its proper position in the scrotum.
Your son may be lying down, sitting or standing during this examination. If your son is a toddler, the doctor might have him sit with the soles of his feet touching and knees to the sides. These positions make it easier to find and manipulate the testicle.
If the testicle is a retractile testicle, it will move relatively easily and painlessly. The retractile testicle won't immediately move up again.
If the testicle in the groin moves only partway into the scrotum, if the movement causes pain or discomfort, or if the testicle immediately retreats to its original location, it's most likely not a retractile testicle. The testicle would be considered undescended, or if the testicle had been in the scrotum at one time, it would be considered an ascending testicle.
Sept. 16, 2015
- Keys C, et al. Retractile testes: A review of the current literature. Journal of Pediatric Urology. 2012;8:2.
- Kliegman RM, et al., eds. Disorders and anomalies of the scrotal content. In: Nelson Textbook of Pediatrics. 20th ed. Philadelphia, Pa.: Saunders Elsevier; 2015. http://www.clinicalkey.com. Accessed Aug. 2, 2015.
- Cooper CS, et al. Undescended testes (cryptorchidism) in children: Clinical features and evaluation. http://www.uptodate.com/home. Accessed Aug. 2, 2015.
- Agarwal PK, et al. Retractile testis—Is it really a normal variant? Journal of Urology. 2006;175:1496.
- Gearhart JP, et al., eds. Cryptorchidism. In: Pediatric Urology. 2nd ed. Philadelphia, Pa.: Saunders Elsevier; 2010. http://www.clinicalkey.com. Accessed Aug. 2, 2015.
- Hack WW, et al. Acquired undescended testis: Putting the pieces together. International Journal of Andrology. 2012;35:41.
- Stec AA, et al. Incidence of testicular ascent in boys with retractile testes. Journal of Urology. 2007;178:1722.
- Cooper CS, et al. Undescended testes (cryptorchidism) in children: Overview of management. http://www.uptodate.com/home. Accessed Aug. 2, 2015.
- Kolon TF, et al. Evaluation and treatment of cryptorchidism: AUA guideline. Journal of Urology. 2014;192:337.
- Granberg CF (expert opinion). Mayo Clinic, Rochester, Minn. Sept. 2, 2015.