RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Jr., Robert M.
A1 Pawlik, Timothy M.
A1 Vaccaro, Patrick S.
A1 Bitans, Marita
A1 Baker, Anthony S.
SR Print(0)
ID 1187823276
T1 Hydrocele Repair
T2 Zollinger’s Atlas of Surgical Operations, 11e
YR 2022
FD 2022
PB McGraw-Hill Education
PP New York, NY
SN 9781260440850
LK accesssurgery.mhmedical.com/content.aspx?aid=1187823276
RD 2024/04/20
AB A  hydrocele  represents  a  collection  of  fluid  between  the  serosal  and  peritoneal  layers  of  the  tunica  vaginalis  and  can  be  distinguished  as  either  communicating  or  noncommunicating.  A  communicating  hydrocele  arises  from  a  patency  of  the  processus  vaginalis  that  has  failed  to  close  following  testicular  descent.  This  represents  a  spectrum  of  disease  that  includes  an  indirect  inguinal  hernia.  Communicating  hydroceles  occurring  within  the  first  years  of  life  seldom  require  operation  because  they  will  often  disappear  without  treatment.  If  a  communicating  hydrocele  persists  beyond  2  years  of  age  or  is  symptomatic  at  any  time,  surgery  is  recommended,  and  typically  these  are  addressed  via  an  inguinal  incision  in  a  method  similar  to  repair  of  an  indirect  inguinal  hernia.