Adult-onset hydrocele is not uncommonly associated with an underlying malignancy. Emphasize the importance of timely follow-up care. In a patient with signs and symptoms of an acute scrotum, the presence of a hydrocele and a finding of positive transilluminance do not rule out a testicular torsion. Immediate definitive tests are indicated to rule out torsion because testicular survival is poor after 4 hours of ischemia. A reasonable search for possible etiologies should be documented.
Most cases resolve without intervention.
Hydroceles in this group rarely resolve without surgical intervention. Pediatric hernias and hydroceles. The urologist's perspective. Disorders of the spermatic cord. Medicine is a constantly changing science and not all therapies are clearly established.