Pressure, fluid and anatomical characteristics of abdominoscrotal hydroceles in infants

The Journal of Urology
Aaron BayneSteven J Skoog

Abstract

Abdominoscrotal hydrocele is a poorly understood entity and multiple theories attempt to explain its occurrence. To our knowledge the factors contributing to the formation of abdominoscrotal hydrocele are unknown, as are its cellular, biochemical and hydrostatic properties. We prospectively evaluated abdominoscrotal hydrocele at surgery to define its cause and its effects on the testicle. Six patients (9 abdominoscrotal hydroceles) were prospectively evaluated at surgery. Hydrocele volume was recorded as well as simultaneous hydrocele and bladder pressure. Fluid at surgery was sent for biochemical and cellular analysis. Testicular and epididymal abnormalities were noted and testicular length was measured. All abdominoscrotal hydroceles were exteriorized and excised. Processus vaginalis patency was documented at repair. Mean patient age was 7.17 months (range 5 to 12). The mean volume recorded was 212.78 ml (range 80 to 320). Mean corrected hydrocele pressure was 15.44 cm H(2)O (range 7 to 28). Mean testicular length was 3.6 cm (range 2.2 to 5.5). All patients had epididymal anomalies and 2 of the 3 unilateral abdominoscrotal hydroceles had abnormal contralateral scrotal findings. In no case was a peritoneal communication identi...Continue Reading

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Citations

May 15, 2012·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Kathryn MartinJean-Martin Laberge
Feb 21, 2014·International Urology and Nephrology·George VaosKhalil Eirekat
Mar 13, 2010·Journal of Pediatric Surgery·Silvia CeccantiDenis A Cozzi
Jul 21, 2009·Journal of Pediatric Urology·James ParkRobert J Wasnick
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Jul 17, 2016·Journal of Pediatric Surgery·Alexander D DoudtMatthew S Christman
Jul 11, 2012·Urologia Internationalis·Mehmet GulumIsmail Yagmur
Sep 15, 2018·Journal of Surgical Case Reports·Joseph RassamHarriet Jane Corbett

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