Your patient will undergo a physical examination by one of the pediatric urologists. If a hydrocele or hernia is confirmed, then surgery may be offered.
All hernias are offered surgery since they will not resolve spontaneously. Small and soft hydroceles do not require surgery but larger hydroceles should be treated as they can confound routine physical examination of the testis.
With the child under anesthesia, a 1 to 1 ½ inch incision is made in the groin.
- Hernias: The connection between the abdomen and scrotal sac is then closed. It is unusual for childhood hernias to return after repair.
- Hydroceles: The fluid is removed and the wall of the hydrocele sac is either partially removed or stitched to prevent the hydrocele from coming back. Hydroceles return in up to 5 out of 100 cases.