Difference between revisions of "Hydrocele"

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*Accumulation of fluid around the testis
 
*Accumulation of fluid around the testis
 
*Most common cause of painless scrotal swelling in children
 
*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
 
*Most resorb by 18-24 months of age
 +
*Acute symptomatic hydroceles are not benign, require workup
  
==Diagnosis==
+
==Evaluation==
 
*+Transillumination
 
*+Transillumination
 +
*Consider testicular ultrasound
  
==DDx==
+
==Differential Diagnosis==
*Hydrocele
+
{{Template:Testicular DDX}}
*Hematocele
 
*Spermatocele
 
*Malignancy
 
  
==Treatment==
+
==Management==
 
*None indicated
 
*None indicated
  
 
==Disposition==
 
==Disposition==
 
*Referral to urologist
 
*Referral to urologist
 +
*Hydroceles that persisted >1 year or in patients >18 months should undergo ultrasonography to rule out tumor vs inflammatory etiology
  
==Source==
+
==See Also==
Tintinalli
+
*[[Testicular diagnoses]]
 +
*[[Testicular ultrasound]]
  
[[Category:GU]]
+
==References==
[[Category:Peds]]
+
<references/>
 +
 
 +
 
 +
[[Category:Urology]]
 +
[[Category:Pediatrics]]

Latest revision as of 13:49, 15 August 2016

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

Evaluation

  • +Transillumination
  • Consider testicular ultrasound

Differential Diagnosis

Testicular Diagnoses

Management

  • None indicated

Disposition

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

See Also

References