A 7-year-old boy had an ultrasound of his testicles and found them to be of unequal size. How should this be treated?

Patient's question:

7-year-old boy, testicles show different sizes on ultrasound, with a difference of 0.3. There is hydrocele. Will it affect future fertility? Thank you

Doctor's answer:

If there is a small amount of hydrocele, it should recover on its own, and there should not be a significant problem. For a small amount of hydrocele, it is advisable to wait and see if it changes on its own, as it may recover naturally. If the hydrocele gradually increases in size, surgical treatment can be considered, which will not affect fertility. Long-term medication may be required. It is important to actively seek medical treatment at a professional and reputable hospital. Treatment should be considered based on the results of a thorough examination. Additionally, it is important to quit smoking and drinking, and to pay attention to personal hygiene.