What are the contraindications for repair of a hydrocele?

Updated: Oct 28, 2020
  • Author: Jacob C Parke, MD; Chief Editor: Edward David Kim, MD, FACS  more...
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Answer

Seemingly, no true absolute contraindications exist for repair of hydroceles. However, given the minimal clinical consequence of the hydrocele itself, any condition that classifies patients as poor surgical or anesthetic risk may be considered a relative contraindication to surgical repair.

Additionally, while a slight majority of pediatric surgeons across North America would repair any communicating hydrocele (somewhat irrespective of age) if it were clearly communicating, waiting until the child is 1-2 years old is certainly reasonable. Finally, small atrophic testes, or solitary testes, should be approached with great caution to minimize the risk of anorchia.


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