Urol. praxi, 2015; 16(2): 80-82

Surgical intervention in 6 months old child with hydrocele congenitalis bilateralis permagna

MUDr.Martina Novotná, MUDr.Ivo Novák, Ph.D.

Urologická klinika FN a LF UK v Hradci Králové

Communicating hydrocele is a benign anomaly which is not rare in young boys. It can sometimes be seen even in adults. Operation of

communicating hydrocele is not recommended within the first 12–24 months of age. In most cases congenital hydroceles regress spontaneously

in childhood. We present a case of five months old pacient who was sent to our clinic with large bilateral congenital hydrocele.

The patient was operated in 6 months of age. Early operation was chosen due to extreme size of the hydroceles which caused troubles

with nursening and presented risk of potential delay in pacient´s motoric development. We performed bilateral resection of processus

vaginalis peritonei with no perioperative and postoperative complications. The operation was successful in terms of both reduction of

troubles with nursening and improvement in patient´s motoric abilities. His motoric skills are normal for his age. Puncture of congenital

hydrocele is contraindicated because of the risk of peritonitis. Another reason is peritonitis and early relapse.

Keywords: congenital hydrocele, persistent processus vaginalis peritonei, operation of hydrocele

Published: May 1, 2015  Show citation