ABSTRACT
Retractile testes are testes that can be brought down into their normal positions in the scrotum but then immediately retract upward and out of the scrotum. This study was undertaken to evaluate the management of 50 boys with retractile testes and its effect on future fertility. Fifty boys were diagnosed and confirmed as retractile testes in our outpatient clinic. Hormonal treatment in the form of Human chorionic Gonadotrophin [HCG] was started for all boys. Orchiopexy was indicated for nonresponder and re-ascending testes. Testicular biopsy was taken after taking consent from parents of the boys. Follow up of the boys continued for at least 6 months after the treatment. Response to HCG treatment occurred in 38 boys [76%] [responder]. Orchiopexy was performed for 14 boys [12 boys were non-responder and 2 re-ascending]. Testicular biopsies revealed abnormal histology in 5 boys [35.7%]. The retractile testes are not a benign entity or a normal variant of descended testes. The patients with retractile testes should be carefully examined, managed and followed up