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Hydrocele

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Topic updated on 09/26/16 3:24pm

Snapshot
  • hydroceleA newborn boy is found to have unilateral scrotal enlargement after an uncomplicated delivery. The scrotum is transilluminated and the result is shown. 
Introduction
  • Scrotal enlargement due to filling with fluid
    • secondary to a failure of the embryonic processus vaginalis to close
      • abdominal fluid allowed to enter scrotum between layers of tunica vaginalis
    • may fill with serous fluid, blood (hematocele) or sperm (spermocele)
  • Associated conditions
    • indirect inguinal hernia
Presentation
  • Symptoms
    • scrotal enlargement
Evaluation
  •  Transillumination 
    • differentiates testicular masses from hydrocele
Treatment
  • Observation
    • most will resolve in the first 12 months of life
  • Surgical closure
    • only if hydrocele fails to close in first year of life 


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Qbank (1 Questions)

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(M2.RL.23) A 1-day-old male infant born by normal spontaneous vaginal delivery was found to have a scrotal mass on physical examination. The mass transilluminates and confirms the attending physician's suspicion of hydrocele. How long should the physician recommend that the parents wait before the hydrocele is reassessed? Topic Review Topic

1. 1 day
2. 1 week
3. 1 month
4. 6 months
5. 1 year

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