The management of a pediatric patient with a hydrocele may be determined a number of factors. The authors are from Astrid Lindgren Children’s Hospital and Karolinska University Hospital in Stockholm.
Patient selection: infant or child with a hydrocele
Approximately 90% of hydroceles identified in an infant will resolve spontaneously as a patent processus vaginalis becomes obliterated.
Hydroceles that may require surgical intervention:
(1) huge size
(2) accompanied by an inguinal hernia
(3) testicular torsion
(4) significant discomfort
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