Hydrocele: Difference between revisions

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{{Adult top}} [[Hydrocle (peds)]].''
{{Adult top}} [[Hydrocele (peds)]].''
==Background==
==Background==
[[File:Gray1144.png|thumb|Scrotal anatomy]]
[[File:Gray1144.png|thumb|Scrotal anatomy]]
[[File:Figure 28 01 02.jpg|thumb|Scrotal anatomy]]
[[File:Figure 28 01 02.jpg|thumb|Scrotal anatomy]]
*Accumulation of fluid around the testis
*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


==Differential Diagnosis==
==Differential Diagnosis==
{{Template:Testicular DDX}}
{{Testicular DDX}}


==Evaluation==
==Evaluation==
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==Management==
==Management==
*None indicated
*Generally can by managed conservatively unless complicated by the presence of a [[pyocele]]


==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


==See Also==
==See Also==
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==References==
==References==
<references/>
<references/>


[[Category:Urology]]
[[Category:Urology]]
[[Category:Pediatrics]]

Latest revision as of 02:38, 29 October 2022

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

Background

Scrotal anatomy
Scrotal anatomy
  • Accumulation of fluid around the testis

Differential Diagnosis

Testicular Diagnoses

Evaluation

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

Management

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

Disposition

  • Referral to urologist

See Also

References