Patient's question:
My little one's testicles in the private area are one big and one small, one soft and one hard. It has been noticed for a month. When it gets cold, the right testicle in the private area of my little one becomes bigger and softer, while the left one is small and hard. Is it a hernia?Doctor's answer:
Based on your description, here is a preliminary consideration. The testicles on both sides are of different sizes, which may be due to changes in the surrounding environmental temperature, making it more likely that one testicle has not descended properly. The harder testicle initially suggests a higher possibility of epididymitis on one side. It is recommended that you visit a pediatric department or urology department at a local reputable tertiary hospital for specialized examination and imaging tests such as an ultrasound of the external genitalia to further confirm the diagnosis.In boys, the testicles may be one larger and one smaller, which is a normal phenomenon. It is also possible that it could be an inguinal hernia. An inguinal hernia refers to the condition where the intestine or other contents enter the scrotum. This enlargement of the scrotum is not persistent and may only occur when the child cries or during a bowel movement when abdominal pressure increases, causing the intestine to enter the scrotum.