Is a small testicle in a minor considered abnormal development?

Patient's question:

12 years old, male, small testicles, is it abnormal development and growth? Had orchiopexy surgery on the left at age 10. The testicles didn't grow much starting from age four or five. The penis is developing well. What's going on?

Doctor's answer:

This size has a lot of intergenerational hereditary selection factors. Inborn things cannot be changed, while postnatal factors have certain effects. The only solution is to change the postnatal factors, through two approaches: enhancing nutrition and increasing activity. There is no other way. Good growth and development are not a problem, but the testes can be stable. However, the treatment period is usually long, and it is easy to relapse after treatment. Therefore, during treatment, it is essential to actively cooperate with the doctor's treatment, use medication appropriately, and the patient should avoid sitting or riding for long periods, paying close attention to personal hygiene.

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