Hydrocele

.

see video link in second post

[center]Encysted hydrocele of the cord (Bianchi incision). By By Dr Tamer Ashraf Wafa, PhD, MRCS see in second post [/center]

.

A 4-year old boy presents to emergency with a 24-hour history of a right groin mass. The mass is not painful. It is firm, not tender, and not reducible. The testicular and scrotal exam is normal. How would you manage him? ​

[size=20px]A 6-month old boy presents with enlarging bilateral hydroceles. A plan for bilateral open inguinal hydrocele repair is decided upon. At the time of surgery, after induction of general anesthesia, a previously unrecognized left-sided abdominal mass is palpated. Compression of the left scrotal hydrocele seems to increase the size of the mass slightly; release of compression causes the hydrocele to feel tense again. At this point the surgeon should A Laparoscopically evaluate in conjunction with an inguinal exploration B Cancel the surgery and obtain a VCUG (voiding cystourethrogram) C Scrotal hydrocelectomy D Open laparotomy for the abdominal mass …

see video link in second post

Any one want a high quality PDF of this chart, post in this thread and use a personalized picture as an avatar, I will send it to you in a private message Edit: Available without restrictions

First one with correct answer with justification win. [size=20px]A 15-year old boy has noted right scrotal swelling for four months. He is asymptomatic and otherwise healthy. Examination reveals a large transilluminating fluid collection which cannot be reduced. The best next step in management of this adolescent with a hydrocele is A right inguinal exploration. B diagnostic laparoscopy. C scrotal ultrasound. D needle aspiration. E needle aspiration and sclerotherapy.[/size]

First one with correct answer with justification win. [size=20px]A 15-year old male cross country runner presents with painful right scrotal swelling. The swelling is constant and has developed slowly over the past six months. On examination, the inguinal canal is normal. The scrotum transilluminates and its contents cannot be reduced. The testicle cannot be palpated. An ultrasound demonstrates a normal testicle and a large hydrocele. The best next step in management of this chronic hydrocele is A observation. B aspiration. C scrotal approach with hydrocelectomy. D inguinal approach with ligation of the processus vaginalis and aspirating the hydrocele fr…

see in next post