Primary new-onset hydroceles presenting in late childhood and pre-adolescent patients resemble the adult type hydrocele pathology

• Published in: Journal of pediatric surgery Vol. 49; no. 11; pp. 1656 - 1658
• Main Authors: Koutsoumis, Georgios, Patoulias, Ioannis, Kaselas, Christos
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-11-2014
• Subjects: Adolescent; Age of Onset; Child; Child, Preschool; Communicating hydrocele; Greece; Humans; Incidence; Male; Pediatrics; Recurrence; Retrospective Studies; Scrotal hydrocelectomy; Surgery; Testicular Hydrocele - diagnosis; Testicular Hydrocele - epidemiology; Testicular Hydrocele - surgery; Testis - diagnostic imaging; Testis - pathology; Testis - surgery; Tunica vaginalis plication; Ultrasonography; Urologic Surgical Procedures, Male - methods; Communicating hydrocele; Tunica vaginalis plication; Scrotal hydrocelectomy
• ISSN: 0022-3468; 1531-5037
• DOI: 10.1016/j.jpedsurg.2014.05.020

Abstract Aim 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. Material and methods 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, clinical symptoms and signs relative to their pathology and U/S findings were recorded. According to their indications, patients were either operated or followed up. Patients surgically treated, consisted our study group. Results Sixty patients were identified. Thirteen were followed until resolution of their hydrocele. Forty-seven patients were surgically treated. Twenty-seven had right sided hydrocele (57.44%), 13 had left sided hydrocele (27.66%) whereas in 7 patients the hydroceles were bilateral (14.9%). 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. Conclusion 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.