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Do you mean that the boy (you or your son?) has only one teste inside his scrotum and the other teste is undescended (and still located within his abdomen?) If this is the case go and see your doctor, as soon as is practicable. A boy's testes should both have descended either before birth or soon after, definitely long before the onset of puberty. During puberty a boy's testes increase a great deal in size and this growth, inside the abdomen is the likely cause of the pain. It may be possible for a doctor or specialist to descend the testes or it may have to be removed. Either way it should not remain within the abdomen.

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Q: Why would the testicle that has not dropped yet hurt a boy in puberty?
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