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Hydrocele

Key sources
The following summarized guidelines for the evaluation and management of hydrocele are prepared by our editorial team based on guidelines from the European Association of Urology (EAU/ESPU 2023).
1

Guidelines

1.Diagnostic investigations

Assessment of contralateral disease: elicit history and perform physical examination at the time of initial evaluation to assess for contralateral disease.
B
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  • Scrotal ultrasound

2.Surgical interventions

Timing of surgery
Observe the majority of infant patients with hydrocele for 12 months before considering surgical treatment because of the tendency for spontaneous resolution.
B
Perform early surgery if there is suspicion of a concomitant inguinal hernia or underlying testicular pathology.
B

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  • Technical considerations for surgery