RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Robert M.
SR Print(0)
ID 1127274313
T1 HYDROCELE REPAIR
T2 Zollinger's Atlas of Surgical Operations, 10e
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-179755-9
LK accesssurgery.mhmedical.com/content.aspx?aid=1127274313
RD 2024/04/19
AB A  hydrocele  of  the  tunica  vaginalis  occurring  within  the  first  year  of  life  seldom  requires  operation,  since  it  will  often  disappear  without  treatment.  Hydroceles  that  persist  after  the  first  year  or  appear  later  in  life  usually  require  treatment,  since  they  show  little  tendency  toward  spontaneous  regression.  All  symptomatic  hydroceles  in  adults  or  in  children  older  than  2  years  should  be  removed.  Most  hydroceles  are  painless,  and  symptoms  arise  only  from  the  inconvenience  caused  by  their  size  or  weight.  The  long-continued  presence  of  a  hydrocele  infrequently  causes  atrophy  of  the  testicle.  Open  operation  is  the  method  of  choice  for  removing  the  hydrocele.  Aspiration  of  the  hydrocele  contents  and  injection  with  sclerosing  agents  are  generally  regarded  as  unsatisfactory  treatment  because  of  the  high  incidence  of  recurrences  and  the  frequent  necessity  for  repetition  of  the  procedure.  Occasionally,  severe  infection  can  be  introduced  by  aspiration.  Simple  aspiration,  however,  often  may  be  used  as  a  temporary  measure  in  those  cases  where  surgery  is  contraindicated  or  must  be  postponed.