Unlike a hernia, there is no urgency in operating for a hydrocele. It can be safely observed till 18 months to 2 years of age as it is harmless provided you are sure that it is not associated with inguinal hernia.
The hydrocele which are constant in size throughout the day time are usually scrotal type hydrocele and are seen in newborns. They are called as non- communicating hydroceles. It is this type of non -communicating hydrocele which tends to resolve spontaneously.
The hydrocele in which parents gives the history of increase and decrease in the size of swelling are called as communicating hydrocele and will require surgery
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