Paediatrics: Hydroceles

Hydroceles

Infantile hydroceles are common.

•   Caused by failure of the processus vaginalis to obliterate after testicular descent through the inguinal canal.

•   Clinical signs are a soft swelling around the testis that transilluminates and above which the examiner can get (Fig. 23.16).

•   Most resolve by the second year and those that do not should be treated surgically through a short groin incision.

Check for inguinal hernia.