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Hidrocele

Última revisão: 19 Jun 2025
Última atualização: 20 Oct 2023

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • presença de fatores de risco
  • massa escrotal
  • transiluminação
  • aumento da massa escrotal após atividade
  • variação na massa escrotal durante o dia
Detalhes completos

Fatores de risco

  • sexo masculino
  • prematuridade e baixo peso ao nascer
  • lactentes <6 meses de idade
  • lactentes cujos testículos descem relativamente tarde
  • aumento de líquido ou pressão intraperitoneal
  • inflamação ou lesão dentro do escroto
  • câncer de testículo
  • doenças do tecido conjuntivo
  • varicocelectomia
  • filariose
  • exposição materna a bifenil polibromado
Detalhes completos

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • diagnóstico clínico
Detalhes completos

Investigações a serem consideradas

  • ultrassonografia
Detalhes completos

Algoritmo de tratamento

CONTÍNUA

crianças

adolescentes

adultos

Colaboradores

Autores

Barry A. Kogan, MD
Barry A. Kogan

Professor of Surgery and Pediatrics

Albany Medical College

Albany

NY

Declarações

BAK declares that he has no competing interests.

Erim Erdem, MD
Erim Erdem

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

Disclosures

DHW declares that he has no competing interests.

Marcus Drake, MA, DM, FRCS (Urol)

Senior Lecturer in Urology

University of Bristol

Bristol

UK

Disclosures

MD declares that he has no competing interests.

References

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Key articles

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.Full text  Abstract

European Association of Urology. EAU guidelines on paediatric urology. Mar 2023 [internet publication].Full text

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.

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