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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Hydrocele In A 10 Weeks Old Child?

My baby 10 weeks has hydrocele and there is no sign of hernia, but my doctor is insisting upon surgery, the scrotum is neither red nor growing, we have had ultra sound with following results;

Quote
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Ultrasound Report:
Both Testes
Both testes are seen in either half of scrotum
Both testes have normal size
Right testis measures 1.7x0.9 cms
Left testis measures 1.6cmx0.7cms
Echo Texture is homogeneous and equal on both sides
No mass seen in either testis
Doppler show normal intratesticular vascularity
Moderate amount of fluid seen around right testis
Upper limit of this reaching upto mid inguinal canal and on crying goes higher up, however there is no communicate of canal with peritoneal cavity.
No evidence of herniation of sac or bowel, on the right side
On left side Mild hydrocele seen. It is limited to the scrotum
No evidence of left sided inguinal hernia

Unquote
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Fri, 24 Jul 2015
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Pediatrician, Pulmonology 's  Response
Hi...Greetings form Chennai. Usually in such cases - it is called congenital hydrocele and I usually wait till the kid achieves 12 months of age as it has got the chance to resolve spontaneously. But this I can do confidently after seeing the kid's scrotum and proper examination by touching it and seeing for the tenseness. Ultrasound report can only be corroborative. It cannot help in either deciding to do surgery or not.
Regards - Dr. Sumanth
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How To Treat Hydrocele In A 10 Weeks Old Child?

Hi...Greetings form Chennai. Usually in such cases - it is called congenital hydrocele and I usually wait till the kid achieves 12 months of age as it has got the chance to resolve spontaneously. But this I can do confidently after seeing the kid s scrotum and proper examination by touching it and seeing for the tenseness. Ultrasound report can only be corroborative. It cannot help in either deciding to do surgery or not. Regards - Dr. Sumanth