Question
One of a child’s testicles is larger while the other is smaller. After examination, it was found to be hydrops of the scrotum. It was suggested to observe whether it can heal on its own, and if not, a larger surgery may be needed. I would like to inquire about how to assist the child in a complete recovery.
Answer
Hydrops of the scrotum is caused by an abnormality in the efflux function of the tunica vaginalis derived from the peritoneum of the processus vaginalis, leading to excessive fluid accumulation within the cyst and forming a cystic mass. For newborns, it is common for this condition to resolve on its own before the age of two. If it does not improve after two years, consider aspiration puncture or a high-positioned drainage surgery to cut off the downward flow of peritoneal fluid under the scrotum, thereby solving the problem of hydrops of the scrotum. It is recommended to decide on the treatment method based on the child’s specific condition and seek early treatment for an early recovery.