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Yes you definitely need to get it checked
It can be a hydrocele as it can also feel as a unilateral scrotal swelling
Other possibility is a hernia
In any case you need to have it examined and have an ultrasound
Please do let me know if you have any other question
If it is three times the other side I will definitely get it checked once
Hydrocele can be painless
No as even if it is a hydrocele it can be easily corrected surgically
Do you have any more question?
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