Question

Is it normal for a child to have no testicle on the left side, and what should be done about it?

Answer

Male testicles may vary slightly in size and position, but as long as there is no pain or discomfort, they do not interfere with normal function. However, if there is a significant difference or if there is no testicle on one side, it may indicate a condition such as underdevelopment or cryptorchidism. Having no testicle on the left side in children is abnormal and may require surgical treatment. Data shows that surgery before the age of two has little impact on the spermatogenic function of the testicle, but by the age of four, it can cause significant interference, and by the age of eight, it can cause severe interference. Even if surgery is performed before the age of twelve, the spermatogenic function of the testicle cannot be fully restored. Therefore, orchidopexy should be performed before the age of two.