Difference between revisions of "Hydrocele"

(DDx)
(Diagnosis)
Line 9: Line 9:
 
==Diagnosis==
 
==Diagnosis==
 
*+Transillumination
 
*+Transillumination
 +
*Consider testicular ultrasound
  
 
==Differential Diagnosis==
 
==Differential Diagnosis==

Revision as of 06:43, 20 February 2015

Background

  • Accumulation of fluid around the testis
  • Most common cause of painless scrotal swelling in children
    • Secondary to persistent processus vaginalis
  • Most are right sided
  • Most resorb by 18-24 months of age
  • Acute symptomatic hydroceles are not benign, require workup

Diagnosis

  • +Transillumination
  • Consider testicular ultrasound

Differential Diagnosis

Testicular Diagnoses

Treatment

  • None indicated

Disposition

  • Referral to urologist
  • Hydroceles that persisted >1 year or in patients >18 months should undergo ultrasonography to r/o tumor vs inflammatory etiology

See Also

Source

Tintinalli