A 28-year-old male asked:
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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
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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A 34-year-old male asked:
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Testicle torsion: Almost always associated with very severe pain of sudden onset ; absent cremasteric reflex (not always)also testicle lies high in swollen scrotum ; ve ... Read More
A 29-year-old male asked:
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Dr. Gerald Mandell
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Probably yes: When cremaster muscle contracts, it pulls the testicle up toward the body.When the environment is warm, the cremaster muscle is relaxed; when the envi ... Read More

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