Urology Book

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Communicating Hydrocele

Aka: Communicating Hydrocele, Hydrocele in Infants
  1. See Also
    1. Hydrocele
    2. Genitourinary Examination in Infants
  2. Pathophysiology
    1. Incomplete obliteration of processus vaginalis
    2. Open communication between peritoneum and tunica
      1. Closes spontaneously in the first year of life
  3. Symptoms and Signs
    1. See Hydrocele
  4. Management
    1. Aspiration not helpful since open communication
    2. Withold surgery until after first year of life
      1. Most will resolve spontaneously
    3. Surgery for:
      1. Large or enlarging Hydrocele
      2. Indirect Inguinal Hernia (requires surgery ASAP)
  5. Complications (Untreated large Hydrocele)
    1. Incarcerated Hernia or Strangulated Hernia
  6. References
    1. Kaplan (2000) Pediatr Rev 21(9):311-4 [PubMed]
    2. Skoog (1995) Urol Clin North Am 22:119-30 [PubMed]

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