Pendulous testicle (retractile testicle)

The retractile testicle occurs due to increased activity of the cremaster muscle, which pulls the testicle into the groin. This movement is often triggered by cold, touch, or physical activity. In most cases, the testicle spontaneously returns to the scrotum.

• The testicle occasionally moves from the scrotum to the groin
• Pain or discomfort is usually not present
• The testicle can be manually returned to the scrotum

The diagnosis is usually made through a physical examination. The doctor checks whether the testicle can be returned to the scrotum spontaneously or manually. In rare cases, imaging techniques such as ultrasound may be used to assess the condition of the testicle more precisely.

• Observation: Since the retractile testicle in children often disappears on its own, a wait-and-see approach is usually taken. However, regular check-ups are important to ensure that the testicle remains in the scrotum as the child grows older.
• Surgical: If the testicle remains permanently in the groin and no longer moves into the scrotum on its own (undescended testicle), surgery may be necessary. This procedure, called orchidopexy, permanently fixes the testicle in the scrotum.

Since the retractile testicle is usually congenital, there are no specific preventive measures. However, it is important to attend regular check-ups with the pediatrician to detect possible complications early.