Hydrocoele

Question 1

Hydrocoele?

Answer 1

Excessive collection of serous fluid within the tunica vaginalis.

Question 2

Hydrocoele aetiology?

Answer 2

congenital, idiopathic, tumour, infection, trauma, underlying testicular torsion

Question 3

Hydrocoele risk factors?

Answer 3

associated with indirect inguinal hernias in children, epididymo-orchitis, filariasis.

Question 4

Hydrocoele epidemiology?

Answer 4

very common in children in the first year and common in older men.

Question 5

Hydrocoele symptoms?

Answer 5

scrotal swelling,

usually asymptomatic, may have pain or urinary symptoms due to underlying cause.

Question 6

Hydrocoele signs?

Answer 6

Difficult to separate the swelling from the testicle.

Question 7

Hydrocoele investigations?

Answer 7

USS to exclude tumour,

Urine dipstick for infection,

blood (markers of testicular tumours)