The type of lesion in young kids is called congenital hernia
. The content initially is fluid which is designated as congeinital hydrocele
. But if untreated the size continues to increase and then abdominal contents start descending down when it is termed as a congenital hernia.
One needs to scertain that the child does not have to strain while passing urine, so examination of the penis is mandatory.
If there is aproblem then USG of abdomen has to be done to rule out back pressure changes on the kidneys as well as to ascertain normalcy of the other abdominal organs. If the child has respiratory infection then surgery needs to be delayed till the infection is controlled. Same applies to bowel movements. Smooth clearance of bowels prior to surgery is must. If all the aforementioned precautions are taken, can one expect complete cure without recurrence. Failure to clear all these issues can give rise to a recurrence.