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Communicating Hydrocele

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1. Hydrocele

if the hydrocele is causing problems. Definition Hydrocele is a collection of serous fluid between the layers of the membrane (tunica vaginalis) that surrounds the testis or along the spermatic cord. Rarely, similar fluid collection can occur in females along the canal of Nuck. There are 2 types of hydroceles: communicating and non-communicating (simple). In communicating hydroceles, a patent processus vaginalis connects the peritoneum with the tunica vaginalis, which allows peritoneal fluid to flow freely (...) on inguinal hernia). International Pediatric Endosurgery Group. IPEG guidelines for inguinal hernia and hydrocele. J Laparoendosc Adv Surg Tech A. 2010;20:x-xiv. http://www.ipeg.org/hernia/ http://www.ncbi.nlm.nih.gov/pubmed/20230241?tool=bestpractice.com A non-communicating or simple hydrocele occurs when the processus vaginalis is closed and more fluid is being produced by the tunica vaginalis than is being absorbed. [Figure caption and citation for the preceding image starts]: Communicating hydrocele

2018 BMJ Best Practice

2. Learning Curves for Laparoscopic Repair of Inguinal Hernia and Communicating Hydrocele in Children (PubMed)

Learning Curves for Laparoscopic Repair of Inguinal Hernia and Communicating Hydrocele in Children We analyzed the department and surgeon learning curves during implementation of the percutaneous internal ring suturing (PIRS) technique in our department.Children proposed for inguinal hernia or communicating hydrocele repair were included (n = 607). After mentorship, all surgeons were free to propose open or PIRS repair. From gathered data, we assessed department and surgeon learning curves

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2017 Frontiers in pediatrics

3. Management of Abdomino-scrotal hydrocele (ASH)/Scrotal-inguino-retroperitoneal (SIR) hydrocele in a renal transplant patient (PubMed)

Management of Abdomino-scrotal hydrocele (ASH)/Scrotal-inguino-retroperitoneal (SIR) hydrocele in a renal transplant patient Abdomino-scrotal hydrocele (ASH) is a very rare clinical entity. It is an unusual condition, in which there is an hourglass communication between a large hydrocele and the retroperitoneal space, through the inguinal canal. First described by Dupuytren in 1834 and defined by Bickle in 1919, the condition is rarely seen. Surgical management usually involves excision (...) of the sac as the definitive treatment option. The pathogenesis of ASH remains unclear and numerous theories have been postulated. We favour the term scrotal-inguino-retroperitoneal (SIR) hydrocele as a more accurate description. The paper presents a unique case of a 24-year-old gentleman, with a functioning kidney transplant, who developed a large ASH/SIR hydrocele that required a midline laparotomy to fenestrate the sac.

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2017 Journal of surgical case reports

4. Communicating Hydrocele

Communicating Hydrocele Communicating Hydrocele Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Communicating Hydrocele Communicating (...) Hydrocele Aka: Communicating Hydrocele , Hydrocele in Infants II. Pathophysiology Incomplete obliteration of processus vaginalis Open communication between peritoneum and tunica Closes spontaneously in the first year of life III. Symptoms and Signs See IV. Management Aspiration not helpful since open communication Withold surgery until after first year of life Most will resolve spontaneously Surgery for: Large or enlarging (requires surgery ASAP) V. Complications (Untreated large Hydrocele) or VI

2018 FP Notebook

5. Torsion of a Communicating Hydrocele Presented as Acute Scrotum: A Case Report and Literature Review (PubMed)

Torsion of a Communicating Hydrocele Presented as Acute Scrotum: A Case Report and Literature Review Torsion of a communicating hydrocele is extremely rare, and the cause is unclear. We report the case of a 3-year-old boy referred to us with acute scrotum. Operative findings revealed torsion of a communicating hydrocele with a 360-degree rotation of the distal end. We performed surgical excision of the necrotic cystic mass and high ligation of the peritoneal communication. A high index

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2016 Case reports in pediatrics

6. Encysted hydrocele of the canal of Nuck in an 11-month-old child with a past history of duodenal atresia and Arnold-Chiari malformation: A case report. (PubMed)

the inguinal canal, which forms a sac containing fluid.We describe a case of hydrocele of the canal of Nuck in an 11-month-old girl with a past medical history of duodenal atresia and Arnold-Chiari malformation.Physical examination and ultrasound revealed a soft, cystic, noncompressible, and non-fluctuant labial mass measuring approximately 5 cm.The patient underwent surgical exploration through a right skin crease incision. The cystic lesion was histologically confirmed to be a non-communicated hydrocele (...) Encysted hydrocele of the canal of Nuck in an 11-month-old child with a past history of duodenal atresia and Arnold-Chiari malformation: A case report. Hydrocele of the canal of Nuck is a rare developmental disorder and represents of a homolog of hydrocele of spermatic cord in males. Hydrocele of the canal of Nuck is a very rare cause of inguinal swelling in female infants and children. It results from the failure of obliteration of the distal portion of evaginated parietal peritoneum within

2019 Medicine

7. The social, physical and economic impact of lymphedema and hydrocele: a matched cross-sectional study in rural Nigeria. (PubMed)

is a matched cross-sectional study which identified lymphedema and hydrocele patients with the help of district health officers and community-directed distributors of mass drug administration programmes. A total of 52 cases were identified and matched to 52 apparently disease-free controls, selected from the same communities and matched by age and sex. Questionnaires and narrative interviews were used to characterise the physical, social and economic impact of lymphedema and hydrocele.Forty-eight cases (...) The social, physical and economic impact of lymphedema and hydrocele: a matched cross-sectional study in rural Nigeria. Lymphatic filariasis (LF) is a mosquito-borne parasitic disease and a major cause of disability worldwide. To effectively plan morbidity management programmes, it is important to estimate disease burden and evaluate the needs of patients. This study aimed to estimate patient numbers and characterise the physical, social and economic impact of LF in in rural Nigeria.This

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2019 BMC Infectious Diseases

8. Adolescent de novo hydroceles - should they be dealt with by inguinal or scrotal approach? (PubMed)

between inguinal and trans-scrotal approaches (p = 0.71). Age of presentation less than 12 years was associated with the presence of a PPV (p < 0.05).A trans-scrotal approach should be considered as first-line in adolescents when the history is not suggestive of a communicating hydrocele. Children less than 12 years of age are more likely to have a PPV and an inguinal approach may be more appropriate.Retrospective comparative study LEVEL OF EVIDENCE: Level II.Copyright © 2018 Elsevier Inc. All rights (...) Adolescent de novo hydroceles - should they be dealt with by inguinal or scrotal approach? The objective of this study was to investigate the optimal approach for the treatment of hydroceles in adolescents.A retrospective chart review of all adolescents (10-16 years old) diagnosed with a de-novo hydrocele in 2 tertiary care institutions over a 10 year period (2007-2016) was performed comparing the inguinal and trans-scrotal (Jaboulay) approaches.Fifty-three boys with a mean age of 13.4 years

2018 Journal of Pediatric Surgery

9. A comparison between totally laparoscopic hydrocelectomy and scrotal incision hydrocelectomy with laparoscopic high ligation for pediatric cord hydrocele. (PubMed)

on the left (35.7%). Bilaterality occurred in 3.3%. Comorbidities such as hernia (8.6%) and cryptorchidism (1.2%) were observed. There were no complications except for two cases of wound hematoma in SIH group. There was one (0.7%) case of recurrence appeared in communicating hydrocele in SIH group. There were no significant differences in the age, laterality of hydrocele, inguinal comorbidities, operation time, complications, and recurrences between TLH and SIH groups. However, TLH for unilateral cord (...) A comparison between totally laparoscopic hydrocelectomy and scrotal incision hydrocelectomy with laparoscopic high ligation for pediatric cord hydrocele. The purpose of this study is to report clinical characteristics and to investigate the feasibility and safety of totally laparoscopic hydrocelectomy (TLH) compared to scrotal incision hydrocelectomy with laparoscopic high ligation (SIH) for pediatric cord hydrocele (CH).From September 2011 to February 2016, 148 patients underwent SIH, and 342

2017 Surgical endoscopy

10. Classifying Hydroceles of the Pelvis and Groin: An Overview of Etiology, Secondary Complications, Evaluation, and Management (PubMed)

and progression.A MEDLINE® search was conducted using keywords for the relevant classification of hydrocele and its etiology, complications, sexual barriers, evaluation, and management.Appropriately classifying the hydrocele as primary, secondary communicating, secondary noncommunicating, microbe-induced, inflammatory, iatrogenic, trauma-induced, tumor-induced, canal of Nuck, congenital, and giant is important for identifying the underlying etiology. Often this process is overlooked when the classification (...) Classifying Hydroceles of the Pelvis and Groin: An Overview of Etiology, Secondary Complications, Evaluation, and Management A hydrocele is defined as the pathological buildup of serous fluid in the pelvis and groin due to various etiologies such as diseases or trauma. It has distinct clinical manifestations, particularly discomfort and psychosocial distress. Understanding the anatomy, embryology, and physiology associated with hydrocele formation is crucial to understand its onset

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2017 Current urology

11. Current practice regarding timing of patent processus vaginalis ligation for idiopathic hydrocele in young boys: a survey of UK surgeons (PubMed)

of respondents (61%) do not differentiate between communicating and non-communicating hydroceles when considering age for repair.These results suggest that there is uncertainty regarding the optimum age for PPV ligation and adequate underlying variability in practice to support a prospective study of the optimum age for hydrocele repair and the natural history of PPV closure. (...) Current practice regarding timing of patent processus vaginalis ligation for idiopathic hydrocele in young boys: a survey of UK surgeons The aim of this study was to determine the current UK practice regarding timing of surgical repair of hydroceles in young boys.Through a validated, online survey, participants were asked their preferred management option in five different clinical scenarios across five age ranges.71 responses were included in the analysis. The most common age to offer surgical

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2017 Pediatric surgery international

12. Use of Diagnostic Laparoscopy for Identification of Bilateral Noncommunicating Hydroceles in an Infant with Right-Sided Abdominoscrotal Mass and Left-Sided Scrotal Mass (PubMed)

with extension into the scrotum. Scrotal ultrasound revealed bilateral hydroceles but exam and ultrasound could not rule out communication. At the time of planned hydrocelectomy, initial diagnostic laparoscopy was used to identify a massive right-sided ASH extending from the internal ring to the umbilicus and a large noncommunicating left-sided hydrocele that was visible with application of pressure to the left side of the scrotum. Following confirmation of anatomy with diagnostic laparoscopy, a scrotal (...) Use of Diagnostic Laparoscopy for Identification of Bilateral Noncommunicating Hydroceles in an Infant with Right-Sided Abdominoscrotal Mass and Left-Sided Scrotal Mass Infantile abdominoscrotal hydrocele (ASH) is a rare condition characterized by a dumbbell-shaped cystic mass extending from the scrotum to the abdomen. We present the case of a 4-month-old infant who presented with progressively enlarging bilateral scrotal swelling and a tense, ballotable right-sided abdominal mass

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2017 Case reports in urology

13. Hydrocele

. Pathophysiology Collection of peritoneal fluid sorrounding Between visceral and parietal tunica vaginalis Types: Infants Non- Hydrocele fluid accumulates in-utero prior to closure of tunica vaginalis Prior to birth tunica vaginalis closes After delivery, no further fluid accumulation and the fluid is gradually resorbed by 18-24 months Incomplete obliteration of processus vaginalis Open communication between peritoneum and tunica vaginalis Closes spontaneously in the first year of life in most cases Persistent (...) Hydrocele Hydrocele Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Hydrocele Hydrocele Aka: Hydrocele From Related Chapters II

2018 FP Notebook

14. Hydrocelectomy via scrotal incision is a valuable alternative to the traditional inguinal approach for hydrocele treatment in boys (PubMed)

Hydrocelectomy via scrotal incision is a valuable alternative to the traditional inguinal approach for hydrocele treatment in boys Few studies have explored the treatment of isolated communicating hydroceles via scrotal incision. We prospectively evaluated the surgical outcomes of such treatment in boys with hydroceles compared with that using traditional, inguinal incision hydrocelectomy.Of 347 boys aged 0-12 years who were diagnosed as hydrocele on ultrasonography, 173 boys were assigned (...) to the scrotal incision hydrocelectomy group (group I, n=173) and 172 boys were assigned to the traditional inguinal incision hydrocelectomy group (group II, n=172), and finally 156 boys in group I and 156 boys in group II were included in this study. Surgical outcomes, including postoperative complications and hydrocele relapse rates, were compared between groups.The overall success rates were similar in both groups (group I, 96.8%; group II, 89.1%; p=0.740). The operation time and hospital stay were

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2018 Investigative and clinical urology

15. Primary new-onset hydroceles presenting in late childhood and pre-adolescent patients resemble the adult type hydrocele pathology. (PubMed)

%). All patients were operated by an inguinal approach. In all 9 patients (19.14%) presenting with new-onset hydrocele at the age >10 years (range: 10-15 years), intraoperative exploration did not reveal a PPV. All patients were followed at least for 6 months post-operatively.Early evidence shows that primary new onset hydroceles presenting in late childhood and pre-adolescence seem to be non-communicating and resemble the adult type hydrocele pathology.Copyright © 2014 Elsevier Inc. All rights (...) Primary new-onset hydroceles presenting in late childhood and pre-adolescent patients resemble the adult type hydrocele pathology. The aim of this study was to investigate the presence of a patent processus vaginalis (PPV) in children of late childhood and pre-adolescence presenting with new onset hydrocele.All males with hydrocele presenting at our department from January 2011 to January 2013 were followed. Patients with secondary hydroceles were excluded. Demographic data, medical history

2014 Journal of Pediatric Surgery

16. Communicating Hydrocele

Communicating Hydrocele Communicating Hydrocele Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Communicating Hydrocele Communicating (...) Hydrocele Aka: Communicating Hydrocele , Hydrocele in Infants II. Pathophysiology Incomplete obliteration of processus vaginalis Open communication between peritoneum and tunica Closes spontaneously in the first year of life III. Symptoms and Signs See IV. Management Aspiration not helpful since open communication Withold surgery until after first year of life Most will resolve spontaneously Surgery for: Large or enlarging (requires surgery ASAP) V. Complications (Untreated large Hydrocele) or VI

2015 FP Notebook

17. Epididymal anomalies in boys with undescended testis or hydrocele: Significance of testicular location. (PubMed)

) or communicating hydrocele (group B, 93 boys and 96 testes) were included. Testicular locations and epididymal anomalies were investigated prospectively. An anomalous epididymis was defined as anomalies of epididymal fusion that consisted of loss of continuity between the testis, the epididymis, and the long looping epididymis. The epididymis was considered normal when a normal, firm attachment between the testis, the caput, and the cauda epididymis was present.The mean ages of groups A and B were 24.6 ± 19.7 (...) Epididymal anomalies in boys with undescended testis or hydrocele: Significance of testicular location. Epididymal anomalies and patent processus vaginalis are frequently found in boys with cryptorchidism or hydrocele. We conducted this study to evaluate the association between epididymal anomalies and testicular location or patent processus vaginalis in boys with undescended testis or hydrocele.Children undergoing surgery with undescended testis (group A, 136 boys and 162 testes

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2015 BMC Urology

18. Modified single-port minilaparoscopic extraperitoneal repair for pediatric hydrocele: a single-center experience with 279 surgeries. (PubMed)

Modified single-port minilaparoscopic extraperitoneal repair for pediatric hydrocele: a single-center experience with 279 surgeries. The purpose of the study is to introduce our experience of a modified single-port minilaparoscopic technique for the treatment of pediatric hydrocele.Between June 2008 and May 2012, 279 boys (115 communicating hydrocele and 164 "non-communicating" hydrocele, diagnosis based on preoperative physical examination and scrotal ultrasound) underwent the modified single (...) -port minilaparoscopic repair in our institution. During surgery, a 3-mm laparoscope was inserted into the abdomen through a mini-umbilical incision. The hydrocele sac orifice was closed by an extraperitoneal purse-string suture placed around the internal ring with an ordinary taper needle and an endoclose needle.Of all the 279 patients, 16 (5.7 %) were found to have a potential patent processus vaginalis (PPV) on the contralateral side. Of the 164 boys diagnosed with "non-communicating" hydrocele

2014 World journal of urology

19. The abdominoscrotal hydrocele in the infant – case report (PubMed)

The abdominoscrotal hydrocele in the infant – case report An abdominoscrotal hydrocele (ASH) is a rare lesion and should be considered in the differential diagnosis of abdominal cystic lesions in boys.We report a case of a 4-month-old boy with a thin-walled, anechoic cystic abdominal mass in ultrasound (US) examination. As the size of the lesion increased in follow-up US after one month, computed tomography (CT) was performed. CT demonstrated a communication between a cystic mass (...) in the abdomen and a right scrotal hydrocele - an abdominoscrotal hydrocele (ASH). The patient had no symptoms and was observed by means of US examination. After the next 4 months, the size of the ASH decreased remarkably.This rare entity should be considered in differential diagnosis of cystic abdominal masses in boys. Spontaneous resolution of ASH is rare, but asymptomatic patients can be followed up before surgery.

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2014 Polish Journal of Radiology

20. Community-based field implementation scenarios of a short message service reporting tool for lymphatic filariasis case estimates in Africa and Asia (PubMed)

Community-based field implementation scenarios of a short message service reporting tool for lymphatic filariasis case estimates in Africa and Asia Lymphatic filariasis (LF) is a neglected tropical disease (NTD) targeted for global elimination by 2020. Currently there is considerable international effort to scale-up morbidity management activities in endemic countries, however there remains a need for rapid, cost-effective methods and adaptable tools for obtaining estimates of people presenting (...) with clinical manifestations of LF, namely lymphoedema and hydrocele. The mHealth tool 'MeasureSMS-Morbidity' allows health workers in endemic areas to use their own mobile phones to send clinical information in a simple format using short message service (SMS). The experience gained through programmatic use of the tool in five endemic countries across a diversity of settings in Africa and Asia is used here to present implementation scenarios that are suitable for adapting the tool for use in a range

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2017 mHealth

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