What causes asymmetry in the size of a child's testicles?

Patient's question:

The child is quite young, so I don't feel comfortable leaving him alone in the bathtub. Therefore, I always bathe the child. Accidentally, I noticed something unusual with the child's testicles. They are of different sizes—one is larger and the other is smaller—while mine are the same size. What should I do?

Doctor's answer:

Human paired organs generally have similar basic shapes and sizes, but they are not exactly the same size. A boy's testicles will descend into the scrotum before birth. If they do not descend into the scrotum, it is called congenital cryptorchidism. Boys often experience recurrent congenital inguinal hernia, hydrocele, and spermatic cord hydrocele, which can cause one side of the scrotum to be larger than the other. A careful ultrasound examination can provide a clear diagnosis. If it is an inguinal hernia or hydrocele, treatment is not necessary before the child is five years old, as there is a high chance of spontaneous resolution.

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