Physical examination maneuver

Physical Exam

Cremasteric Reflex

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Video coming September 2026

How to Perform

With the patient supine and the inner thigh and scrotum exposed, lightly stroke the skin of the upper inner (medial) thigh downward with a tongue depressor, an applicator stick, or the handle of a reflex hammer. Watch the scrotum on the stimulated side for the normal response: prompt contraction of the cremaster muscle that draws the ipsilateral testis upward. Compare both sides; the reflex is recorded as present or absent.

How to Interpret

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References

  • Rabinowitz R. The importance of the cremasteric reflex in acute scrotal swelling in children. J Urol. 1984 Jul;132(1):89-90. doi:10.1016/S0022-5347(17)49476-6. PMID 6726967.
  • Bickley LS, Szilagyi PG, Hoffman RM, Soriano RP. Bates' Guide to Physical Examination and History Taking. 13th ed. Philadelphia, PA: Wolters Kluwer; 2021.
  • Swartz MH. Textbook of Physical Diagnosis: History and Examination. 9th ed. Philadelphia, PA: Elsevier; 2025.