Treatment of Retractile Testis Causing Testicular Discomfort and Pain in New York City

by Alex Shteynshlyuger MD


If you have any questions, to schedule a consultation, please contact us or call/text: 1-212-204-6300.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  Find out our office hours or directions to our office. 

We offer affordable appointment prices with or without insurance.  Same-day virtual video appointments and in-person appointments are available.

Dr. Shteynshlyuger MD is a board-certified urologist in NYC who specializes in treating sexual, testicular, hormonal, urinary, and sexual problems in men.   He has performed hundreds of penile and testicular surgeries, including testicular implants, penile implants, varicocelectomy, spermatic cord denervation, hydrocelectomy, adult circumcision, circumcision revision, vasectomy, surgery for enlarged prostate, and many other procedures.  


Testis that Pull Up in the Groin: What You Need to Know

A retractile testicle is a testicle that tends to ‘retract’ or migrate up high in the scrotum or the groin, sometimes completely but temporarily disappearing from the scrotum for a period of time. This may occur with activity, during periods of emotional stress, or randomly.  Sometimes, this is accompanied by a ‘shrinking scrotum‘ as well.  Positional discomfort, in certain positions, can occur when the testicle pulls up into the groin.  Technically, the testicle can travel as high as the external inguinal ring, sitting between the thigh and the penis. Occasionally, pain may also radiate to the penis.

What is the Cause of “Retractile” Testis?

A testicle is pulled up or ‘retracts’ high in the scrotum due to the strong pull by the surrounding muscles, called cremasteric muscles or cremasteric muscle fibers. Normally, the testicle pulls up in cold weather, along with the scrotum. It also ‘pulls up’ during ‘fight and flight responses, an evolutionary reflex to preserve the testis from injury.

In some men, this reflex is “hyper-responsive or hyperactive” The cremaster muscles are activated in situations when they should not and with greater force than they should, causing pain or discomfort.

What is the Treatment of Retractile Testis?

A retractile testis may not need any treatment if they do not cause pain or discomfort. Many children outgrow retractile testis and they get pulled less actively as children become older and as adults get older.

However, some men experience significant discomfort or pain when the testicle pulls up high in the scrotum and into the right or left groin. This may occur at rest, in certain positions, in colder weather, during sex, playing sports, or in stressful situations.

When a hyperactive cremasteric muscle response leads to the retractile testis being pulled up in the scrotum or the groin and causes discomfort, a few treatment options are available. 
At New York Urology Specialists, we offer innovative treatment with Botox and surgery. 

Botox injection is a minimally invasive treatment with an excellent safety profile and the benefit can last 6-12 months. Denervation of cremasteric muscles with Botox is an effective, minimally invasive, and reversible treatment. Dr. Alex Shteynshlyuger is the first physician in the US to offer this treatment to his patients. It can be performed in our office under local anesthesia. The recovery is fast and most men can go back to their normal activities the next day. 

Surgical treatment of retractile testis involves lysis of cremaster muscle fibers surrounding the spermatic cord.  This can be performed with magnification as a microscopic cremasteric muscle release.  The incision is made at the level where the testis is typically pulled sublingually.  The recovery is fast; most men can resume regular activities within a few days but may experience pain for 1-2 weeks while the area is healing.  This can be performed in our office under local or general anesthesia. New York Urology Specialists’ offices are certified by the American Association for Accreditation of Ambulatory Surgery Facilities, a level of surgical excellence and safety recognized by the US government.

A more traditional treatment for retractile testis is a procedure called “orchiopexy.”  Orchiopexy involves securing the testis in a low scrotal position so that it cannot move up mechanically. This is an effective way to correct the cosmetic problem caused by retractile testis but may not fully treat the pain caused by cremasteric muscle contractions.

Book Appointment

If you have any questions, to schedule a consultation, please contact us or call/text: 1-212-204-6300.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  Find out our office hours or directions to our office. 

We offer affordable appointment prices with or without insurance.  Same-day virtual video appointments and in-person appointments are available.

 

Did you know? Dr. Shteynshlyuger has performed over 1,000 penile, scrotal, testicular, kidney, bladder, and prostate surgeries, including testicular implants, hydrocelectomy, varicocelectomy, scrotoplasty, circumcisions, circumcision revisions, frenuloplasty, penile implants, Urolift, prostate enucleation, correction of Peyronie’s disease, and congenital penile curvature.  He performs 150-200 penile surgeries a year.

Where to Get Treatment for Retractile Testis in NYC?

At New York Urology Specialists, we offer same-day treatment for men.  Same-day virtual video appointments and in-person appointments are available.

Call/text today: 1-212-204-6300 or make an appointment online.  

We perform testicular implants, scrotal surgery, penile procedures, varicocele and hydrocele repair, and cosmetic circumcision.  We offer treatment for phimosis, balanitis, missing testis, low testosterone, testicular pain, penile irritation, and redness. We treat sexual and erection problems and offer comprehensive STD testing for infections. We offer confidential appointments.

Our appointment costs are affordable with or without insurance.  We offer free insurance verification.

We perform cystoscopies, penile sonograms, and testicular ultrasounds in our office.  We offer testosterone replacement therapy, vasectomy, Urolift procedure, and Rezum water-vapor procedure in our office.   We treat urinary and erection problems. We offer confidential appointments.

Read Real Stories of Men Who Underwent Treatment at New York Urology Specialists.

Read RealStories: Circumcision for a 49-year-old man with BXO – out-of-state  – Drove

Read RealStories: Circumcision Phimosis for a 35-year-old man and urinary problems – International Patient

Read RealStories: Circumcision – genital warts for a 28-year-old man from out-of-state

Read RealStories: Circumcision revision due to pain and discomfort for a 37-year-old man

Read RealStories:  Circumcision revision in Adult – 27-year-old

Read RealStories: Cosmetic circumcision for a 51-year old adult male

Read RealStories: Foreskin irritation and recurrent balanitis  – 21 yo balanitis and frenulum breve

Read RealStories: ShangRing circumcision – a 23-year-old man with recurrent inflammation.

Read RealStories:  Tears and bleeding of the penile frenulum after sex 36-year-old male.

Cost of Retractile Testicle Treatment without Insurance

At New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs. 

At New York Urology Specialists, we offer flat-fee, ‘all-costs-included’ procedures such as scrotal and testicular surgery, circumcision, no-scalpel vasectomy, testicular implant, vasectomy reversal, hydrocelectomy, varicocelectomy, and many more.  The procedures are performed in our office under local anesthesia or sedation. Men from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment.  Please contact us for current prices and discounts for patients without insurance or with high insurance deductibles.

Cost of Treatment and Insurance

Inexpensive Urologist Visit CostAt New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs. 

We accept many health insurance plans.  We would be happy to verify your eligibility and benefits and provide you with detailed information on your health plan’s coverage.  Financing options and credit options are available to help you pay for medical care.

Why Choose New York Urology Specialists for Retractile Testis and Treatment of Testicular Problems?

  • All treatment is performed by a board-certified urologist experienced in treating men with symptoms of erectile dysfunction, low testosterone, scrotal and testicular problems, premature ejaculation, testicular pain, and urinary problems using medical therapy, minimally invasive therapies, lasers, and surgery.  
  • We are one of the few practices in the region to offer a full range of options for the treatment of sexual, urinary, and erection problems in men.
  • We offer treatment options for testicular pain, penile problems, male infertility, Peyronie’s disease, prostatitis, enlarged prostate, frequent urination, overactive bladder, and prostate cancer in our office.  Office procedures avoid the risks, costs, and recovery from general anesthesia.  
  • We offer diagnostic testing in our office, which avoids hospital costs.
  • Extensive experience: Thousands of men have been treated successfully with varicocelectomy, hydrocelectomy, testicular implants, orchiectomy, epididymal cyst removal, scrotoplasty, circumcision, penoscrotal web correction, spermatic cord denervation.
  • Confidential and Understanding Care. We understand that most of our patients desire privacy.  We see patients with a variety of urological problems. Your reason for visiting us is entirely confidential.
  • We are conveniently located within a 30-60 minute commute to men who are seeking treatment for scrotal swelling, testicular and penile problems, erectile dysfunction, enlarged prostate, urinary, and cancer treatment in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx, and New Jersey.

What does Retractile Testis Look Like?

You can find pictures of problems caused by retractile testis as well as before and after treatment images in our image gallery.

Scheduling Appointments for Cremasteric Muscle Denervation and Lysis at New York Urology Specialists


If you have any questions, to schedule a consultation, please contact us or call/text: 1-212-204-6300.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  Find out our office hours or directions to our office. 

We offer affordable appointment prices with or without insurance.  Same-day virtual video appointments and in-person appointments are available.

Dr. Shteynshlyuger MD is a board-certified urologist in NYC who specializes in treating sexual, testicular, hormonal, urinary, and sexual problems in men.   He has performed hundreds of penile and testicular surgeries, including testicular implants, penile implants, varicocelectomy, hydrocelectomy, adult circumcision, circumcision revision, vasectomy, surgery for enlarged prostate, and many other procedures.  


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Treatment for Men With Fast Recovery at New York Urology Specialists

Excellence-Urology_Care-banner2At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of men’s health concerns, including sexual problems and urinary problems in men.  We understand the challenges that penile problems and testicular problems create for our patients, their relationships, and their self-esteem.  We help you find a treatment for penile problems and testicular problems, including appearance concerns, foreskin problems, premature ejaculation, testicular pain, and erectile dysfunction, that fit your needs, lifestyle, and preferences.

Urologists are doctors specializing in the treatment of men with sexual problems that include penis problems, scrotal problems, and erectile dysfunction. By virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man who desires an effective treatment for any problem that affects the penis.  We offer medical and surgical treatment for men’s sexual problems.

We Treat Some of the Most Complex Men’s Health Problems, Including:

Schedule an Appointment with Dr. Shteynshlyuger:

Call/text today: 1-212-204-6300 or make an appointment online

Dr. Shteynshlyuger is a fellowship-trained, board-certified urologist with expertise in the evaluation and treatment of sexual, urinary, and erection problems in men.  He uses modern, effective, and proven treatment methods.  We offer circumcision, circumcision revision, penile frenuloplasty, penoscrotal web repair, testicular implants, inflatable penile implants, shockwave therapy for ED, and treatment for Peyronie’s disease. We perform procedures such as Botox for OAB, Interstim neuromodulation, Rezum for BPH, prostate enucleation for enlarged prostate, and Urolift procedure.  

He has successfully treated hundreds of men with an enlarged prostate, testicular problems, low testosterone, and erection problems with symptoms of frequent urination during the day and excessive urination at night.

He is highly recommended by top primary care physicians in the New York area. If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to contact us with any questions.


If you have any questions, to schedule a consultation, please contact us or call/text: 1-212-204-6300.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  Find out our office hours or directions to our office. 

We offer affordable appointment prices with or without insurance.