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
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
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- diagnóstico clínico
Investigações a serem consideradas
- ultrassonografia
Algoritmo de tratamento
crianças
adolescentes
adultos
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
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
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.
Differentials
- Hérnia inguinal
- Câncer de testículo
- Epididimite
More DifferentialsGuidelines
- EAU guidelines on paediatric urology
- IPEG guidelines for inguinal hernia and hydrocele
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