What are the approach considerations in the workup 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

Simple hydroceles are diagnosed on clinical grounds. Clinical findings that should raise the suggestion of a different diagnosis or some additional underlying pathology include the following:

  • Inability to clearly delineate or palpate the testicular structure
  • Local tenderness, fever, or any gastrointestinal symptoms (eg, vomiting, constipation, diarrhea)
  • Internal shadows on transillumination

Scrotal ultrasonography is the next logical step in such cases.


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