II. Pathophysiology
- Incomplete obliteration of processus vaginalis
- Open communication between peritoneum and tunica
- Closes spontaneously in the first year of life
III. Symptoms and Signs
- See Hydrocele
IV. Management
- Aspiration not helpful since open communication
- Withold surgery until after first year of life
- Most will resolve spontaneously
- Surgery for:
- Large or enlarging Hydrocele
- Indirect Inguinal Hernia (requires surgery ASAP)