Hydrocele: Pathogenesis and Clinical Findings Non-communicating: - Localized infection or trauma - Previous varicocelectomy or inguinal surgery - Testicular or scrotal malignancy -> Impaired fluid drainage -> Imbalance between secretion and absorption of fluid in tunica vaginalis Communicating: - Congenital patent processus vaginalis - Communication between peritoneal cavity and the scrotum - Free flow of peritoneal fluid into tunica vaginalis -> Accumulation of fluid within tunica vaginalis -> Hydrocele Notes: • Hydroceles are typically asymptomatic. • Communicating hydroceles may produce a cough impulse or decrease in size after laying down. #Hydrocele #Pathophysiology #Signs #Symptoms #Diagnosis #Urology
