During the preschool examination of a 4-year-old boy, you are unable to palpate his testes within the scrotal sac. His parents state that previous exams have been normal, and that the testes are clearly visible during baths. What is the most likely explanation?

A Cremasteric Reflex has been elicited

Explanation:

The cremasteric reflex is a superficial reflex found in human males that is elicited when the inner part of the thigh is stroked. Stroking of the skin causes the cremaster muscle to contract and pull up the ipsilateral testicle toward the inguinal canal. Thus the section of the examiner of the thigh must have activated this reflex which resulted in it pulling into the inguinal canal