Hydrocele is a collection of fluid within a pouch that produces swelling in the groin region or scrotum. An inguinal hernia occurs when abdominal organs protrude into the inguinal canal or scrotum. About 1-5% of children will have a hernia or hydrocele, including newborns. Boys are about 8-10 times more likely than girls have this condition, and it occurs about twice as often on the right side of the groin as the left.
Premature infants, small for gestational age infants, and twins have a higher rate hydrocele and inguinal hernia. a family history of hernia also leads to an increased incidence rate.
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Hydrocele is accumulation of fluid around the testicle. There are 2 types:
There are 2 primary types of hernia:
There is no medical management for inguinal hernia or hydrocele, only surgical treatment.
A child will usually be discharged home the same day of surgery and be prescribed pain medicine for his discomfort, but acetaminophen or ibuprofen is also helpful. He should not have full baths for a few days and avoid strenuous activities for 2-3 weeks following the surgery.
Testicular examination should be done yearly to ensure no change in position following hernia repair.
Baskin, Laurence and Barry Kogan, John Duckett. Handbook of Pediatric Urology. Philadelphia: Lippincott-Raven; 1997.
Abnormalities of the Testicle and Scortum. Campbell-Walsh Urology. Wein, Kavoussi, Novick, Partin, Peters. 10th edition, vol. 1. 3582-3586.