What is the role of radiography 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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The radiographic evaluation of hydroceles is controversial. Communicating hydroceles in patients (infants in particular) with a classic presentation and palpable testicle do not require radiographic studies. However, findings from radiographic or ultrasonographic studies can help evaluate for other underlying processes, such as a tumor or torsion, and can be useful in the setting of a non-communicating hydrocele or inability to palpate the testicle, acute onset of swelling/pain, or other atypical findings on presentation or examination.

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