What is the reason for one testicle being larger than the other?

Patient's question:

When giving my son a bath, I noticed that his testicles are one big and one small. I didn't pay much attention when they were smaller, and it didn't seem like there was a significant difference. I've given my son baths before and never noticed this. I suddenly became aware of it. I've asked my son if he's injured, and there are no external wounds. I don't know what's going on.
What kind of help do I need: What could cause one testicle to be larger than the other?

Doctor's answer:

Hello, the reason for one testicle being larger than the other in a child could be hydrocele. In normal male infants, a sac called the "peritoneal processus vaginalis" in the scrotum should close on its own, becoming a very thin fibrous cord. A small part of it remains outside the testicle, forming the. However, if this sac does not close at birth, it may remain connected to the abdominal cavity through a small channel, allowing abdominal fluid to flow into the sac and mix with scrotal secretions to form hydrocele. Hydrocele usually does not require treatment and most cases can resolve on their own. However, if the hydrocele has not resolved by the time the child is 2 years old, surgical treatment should be performed in a timely manner.

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