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The therapeutic management of undescended testes is generally established; for retractile testes, the course is less clear. These authors analyzed data on 150 consecutive patients with this condition, in which the testis can be brought down into the scrotum but returns to the inguinal canal. The average age at initial evaluation was 5.2 years, and the average follow-up period was 3.8 years.
A senior pediatric surgeon evaluated 58 right-sided, 37 left-sided, and 55 bilateral retractile testes in these children. Six patients had a contralateral undescended testis. Thirty-two patients had associated inguinal hernias, 16 on each side. The site (upper scrotum vs. inguinal canal) and the spermatic cord tension (nil, mild, or moderate) were recorde…