Priya Patel
Hydrocele of the spermatic cord is a rare anomaly which occurs when closure of processus vaginalis was hampered. There are two variations of a spermatic cord hydrocele: the encysted variety that does not communicate with the peritoneal cavity and the funicular variety that communicates with the peritoneal cavity. This case report depicts the clinical investigation and management of a rare case of encysted spermatic cord hydrocele in a 3-year-old boy. Surgery is indicated if no communicating scrotal hydrocele does not resolve by 12–18 months of age or if it becomes larger in size. A hydrocelectomy is a surgical procedure to repair a hydrocele, which is a build-up of fluid around a testicle. Often a hydrocele will resolve itself without treatment. However, as a hydrocele grows larger, it can cause swelling, pain, and discomfort in the scrotum and may need surgical repair. A hydrocelectomy removes the fluid and shrinks the size of the sac formerly containing the fluid. Symptomatic hydroceles are commonly treated with surgical repair. They are associated with sexual dysfunction in the aging male. Patients who are not fit for surgery often undergo aspiration and sclerotherapy of the hydrocele. There is a range of sclerosing agents used in the literature. I performed a literature search to assess whether one sclerosant was better than the others.
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