Abdominoscrotal hydrocele in infancy: a review and presentation of the scrotal approach for correction.

PURPOSE A simple transcrotal approach to the surgical treatment of abdominoscrotal hydrocele is presented. MATERIALS AND METHODS Via a scrotal incision the hydrocele sac is drained and the wall is everted and plicated in the manner described by Lord. RESULTS The hydrocele is eliminated with a decreased risk of damage to the spermatic cord and epididymis. There has been no recurrence. CONCLUSIONS The scrotal approach to abdominoscrotal hydrocele is a simple, safe and effective method of managing this relatively uncommon problem.

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