Congenital Hydrocele

3. • 5
• 3. SECONDARY HYDROCELE
• Infection
• Trauma
• Tumor
• Abnormalities in inguinal lymph nodes

4. • 6
• DIFFERENTIAL DIAGNOSISSCROTAL CYSTIC MASSES
• Indirect inguinal hernia
• Epididymis cyst
• Hydrocele
• Varicocele
• Spermatocele
• Piocele
• Hematocele

5. • TREATMENT
• Communicating
• Tying off the patent processus vaginalis
• Primary
• Hydrocelectomy
• Aspiration injection of sclerosing agent
• Secondary
• Treat underlying pathology

6. • 8
• DIFFERENTIATION
• HYDROCELE INGUINAL HERNIA
• Palpate cord above mass YES NO
• Translucent YES NO
• Fluctuate YES NO
• Fluid thrill YES NO

7. • DIFFERENTIATION
• HYDROCELE INGUINAL HERNIA
• Testis palpable NO YES
• Cough impulse NO YES
• Reducible NO YES
• Bowl sounds NO YES

8. • FLUID ASPIRATED FROM CYSTIC MASSES
• SUPRA TESTICULAR CYSTIC MASS COLOR OF FLUID
• Cord hydrocele Straw color
• Spermatocele Milky or Grey opaque (barley-water)
• Epididymis cyst Clear