A 28-year-old male asked:
can you explain the cremasteric reflex used to rule out torsion and can ice be used to test this reflex?
1 doctor answer
Dr. George Klauber answered
Specializes in Pediatric Urology
Cremasteric reflex: Is reflex contraction of cremaster muscle. Develops early, is maximal between ages 5 - 10 years, then wanes.Can pull testis into groin.Occurs if inner thigh or scrotum is touched or subject thinks he will be touched.Used to rule out torsion because spermatic cord is twisted & will not respond with reflex.Not 100% reliable if torsion is only 180degrees. Ice cube to thigh or scrotum can test reflex.
Answered on Jun 3, 2014
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