Because his history and absent cremasteric
reflex strongly suggested testicular torsion, ultrasonography was waived, and he was taken to the operating suite.
You can test your cremasteric
reflex by stroking your inner thigh.
Unlike epididymitis, the cremasteric
reflex is absent in torsion and pain is not relieved by elevation of the scrotum.
reflex was absent on the left side but present on the right.
The testes may also be high riding due to the absence of the cremasteric
reflex (Davenport, 1996; Kadish and Bolte, 1998).
This means that the cremasteric
muscles that surround the testis are pulling the testis up into the inguinal canal.
muscle fibers around the internal ring are divided so that the internal oblique and transversalis muscle edges at this region are freed.
In vivo, intravital videomicroscopy was used to determine the effects of budlein A on LPS-induced leukocyte-endothelial cell interactions in the murine cremasteric
reflex or a nontender testicle usually excludes testicular torsion, but case reports have noted the opposite to be true (SOR: C, case series).
Physical exam revealed a horizontal lie of the testis, erythema and swelling, and negative cremasteric
reflex--all classic signs of testicular torsion.
One study of 172 patients found that the following three factors were highly suggestive of testicular torsion: testicular pain that lasted less than 6 hours, an absent or decreased cremasteric
reflex, and nausea/ vomiting (Pediatr.
This response to changes in temperature is known as the cremasteric
reflex, and is more sensitive in some men than others.