Cryptorchidism physical examination: Difference between revisions
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== | ==Overview== | ||
The most common diagnostic dilemma in otherwise normal boys is distinguishing a retractile testis from a [[testis]] that will not/cannot descend spontaneously into the [[scrotum]]. Retractile testes are more common than truly undescended testes and do not need to be operated on. In normal males, as the [[cremaster muscle]] relaxes or contracts, the testis moves lower or higher ("retracts") in the scrotum. This [[cremasteric reflex]] is much more active in infant boys than older men. A retractile testis high in the scrotum can be difficult to distinguish from a position in the lower inguinal canal. Though there are various maneuvers used to do so, such as using a crosslegged position, soaping the examiner's fingers, or examining in a warm bath, the benefit of surgery in these cases can be a matter of clinical judgement | The most common diagnostic dilemma in otherwise normal boys is distinguishing a retractile testis from a [[testis]] that will not/cannot descend spontaneously into the [[scrotum]]. Retractile testes are more common than truly undescended testes and do not need to be operated on. In normal males, as the [[cremaster muscle]] relaxes or contracts, the testis moves lower or higher ("retracts") in the scrotum. This [[cremasteric reflex]] is much more active in infant boys than older men. A retractile testis high in the scrotum can be difficult to distinguish from a position in the lower inguinal canal. Though there are various maneuvers used to do so, such as using a crosslegged position, soaping the examiner's fingers, or examining in a warm bath, the benefit of surgery in these cases can be a matter of clinical judgement. | ||
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Latest revision as of 21:11, 29 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Saumya Easaw, M.B.B.S.[2]
Overview
The most common diagnostic dilemma in otherwise normal boys is distinguishing a retractile testis from a testis that will not/cannot descend spontaneously into the scrotum. Retractile testes are more common than truly undescended testes and do not need to be operated on. In normal males, as the cremaster muscle relaxes or contracts, the testis moves lower or higher ("retracts") in the scrotum. This cremasteric reflex is much more active in infant boys than older men. A retractile testis high in the scrotum can be difficult to distinguish from a position in the lower inguinal canal. Though there are various maneuvers used to do so, such as using a crosslegged position, soaping the examiner's fingers, or examining in a warm bath, the benefit of surgery in these cases can be a matter of clinical judgement.