Hydrocoele
Hydrocoele is a collection of serous fluid that results from a defect or irritation in the tunica vaginalis of the scrotum. Asymptomatic adults with isolated noncommunicating hydrocoele can be observed indefinitely or until they become symptomatic. However, if the diagnosis is in question or underlying pathology cannot be excluded, operative exploration is warranted. Surgical therapy can be by an inguinal approach with ligation of the processus vaginalis high within the internal inguinal ring or a scrotal approach with excision or eversion and suturing of the tunica vaginalis.
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