Retractile testis in a boy can be managed based upon clinical findings identified during follow-up.
Features of retractile testis:
(1) testis has completed its descent into the scrotum
(2) due to cremasteric reflex or other mechanism, the testis is located in the upper scrotum or inguinal canal
Protocol: careful follow-up with at least 1 exam per year
Termination of follow-up: testis descended into scrotum
Predictors of spontaneous resolution:
(1) age of diagnosis <= 3 years
(2) bilateral retractile testes
Reasons for surgical intervention:
(1) persistently undescended testes
(2) size difference between testes
(3) parental request
Approximately 30% of boys require orchiopexy.
