Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- scrotal mass
- transillumination
- enlargement of scrotal mass following activity
- variation in scrotal mass during the day
Fatores de risco
- male sex
- prematurity and low birth weight
- infants <6 months of age
- infants whose testes descend relatively late
- increased intraperitoneal fluid or pressure
- inflammation or injury within the scrotum
- testicular cancer
- connective tissue disorders
- varicocelectomy
- filariasis
- maternal exposure to polybrominated biphenyl
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- clinical diagnosis
Investigações a serem consideradas
- ultrasound
Algoritmo de tratamento
children
adolescents
adults
Colaboradores
Autores
Barry A. Kogan, MD

Professor of Surgery and Pediatrics
Albany Medical College
Albany
NY
Declarações
BAK declares that he has no competing interests.
Erim Erdem, MD

Professor of Urology
Mersin University School of Medicine
Department of Urology
Mersin
Turkey
Declarações
EE declares that he has no competing interests.
Revisores
Kyle Rove, MD
Assistant Professor
Pediatric Urology
Children's Hospital Colorado
CO
Declarações
KR declares that he is an Abbvie site investigator.
Edmund Sabanegh, MD
Director
Center for Male Fertility
Glickman Urological and Kidney Institute
Cleveland
OH
Declarações
ES declares that he has no competing interests.
Daniel H. Williams, IV, MD
Assistant Professor
Department of Urology
Head
Section of Male Infertility and Andrology
University of Wisconsin School of Medicine and Public Health
Madison
WI
Declarações
DHW declares that he has no competing interests.
Marcus Drake, MA, DM, FRCS (Urol)
Senior Lecturer in Urology
University of Bristol
Bristol
UK
Declarações
MD declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Referências
Principais artigos
Dagur G, Gandhi J, Suh Y, et al. Classifying hydroceles of the pelvis and groin: an overview of etiology, secondary complications, evaluation, and management. Curr Urol. 2017 Apr;10(1):1-14.Texto completo Resumo
European Association of Urology. EAU guidelines on paediatric urology. Mar 2023 [internet publication].Texto completo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
Diagnósticos diferenciais
- Inguinal hernia
- Testicular cancer
- Epididymitis
Mais Diagnósticos diferenciaisDiretrizes
- EAU guidelines on paediatric urology
- IPEG guidelines for inguinal hernia and hydrocele
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