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Hydrocele

Guidelines

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). ...
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Diagnostic investigations

Assessment of contralateral disease: as per EAU/ESPU 2023 guidelines, elicit history and perform physical examination at the time of initial evaluation to assess for contralateral disease.
B
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  • Scrotal ultrasound

Surgical interventions

Timing of surgery
As per EAU/ESPU 2023 guidelines:
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