Hydrocele: Difference between revisions

Latest revision as of 02:38, 29 October 2022

This page is for adult patients. For pediatric patients, see: Hydrocele (peds).

Scrotal anatomy

Scrotal ultrasound of a 10 cm large hydrocele, with anechoic (dark) fluid surrounding the testicle.

Generally can by managed conservatively unless complicated by the presence of a pyocele

Authors:

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+{{Adult top}} [[Hydrocele (peds)]].''
 ==Background==
+[[File:Gray1144.png|thumb|Scrotal anatomy]]
+[[File:Figure 28 01 02.jpg|thumb|Scrotal anatomy]]
 *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==
+==Differential Diagnosis==
+{{Testicular DDX}}
+==Evaluation==
+[[File:Ultrasonography of hydrocele.jpg|thumb|Scrotal ultrasound of a 10 cm large hydrocele, with anechoic (dark) fluid surrounding the testicle.]]
 *+Transillumination
-*Consider testicular ultrasound
+*Consider [[testicular ultrasound]]
-==Differential Diagnosis==
-{{Template:Testicular DDX}}
-==Treatment==
+==Management==
-*None indicated
+*Generally can by managed conservatively unless complicated by the presence of a [[pyocele]]
 ==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==
-*[[Testicular Diagnoses]]
+*[[Testicular diagnoses]]
+*[[Testicular ultrasound]]
-==Source==
+==References==
-Tintinalli
+<references/>
 [[Category:Urology]]
-[[Category:Pediatrics]]