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External Genital Anomalies in Boys
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=== Definitions === * '''Indirect inguinal hernia: a widely patent processus vaginalis''' extending beyond the internal inguinal ring '''containing abdominal contents''' (bowel, omentum, gonads) which may pass into the inguinal canal, labia, or scrotum * '''Communicating hydrocele: a patent processus vaginalis extending beyond the internal inguinal ring containing peritoneal fluid alone, which extends to the testis, with fluid within the tunica vaginalis''' * '''Hydrocele of the spermatic cord: fluid contained within a segment of patent processus vaginalis with obliterated processus distally and proximally''' * '''Scrotal hydrocele: fluid contained within the tunica vaginalis surrounding the testis without communication proximally''' ** '''May be seen as a chronic or acute scrotal swelling after an inflammatory, infectious, or traumatic event'''. The hydrocele size is typically stable but may decrease over time. * Abdominoscrotal hydrocele: a large scrotal hydrocele that extends proximally across the internal inguinal ring into the abdomen without communication with the peritoneum ** Associated with (4): **# A closed processus vaginalis. **# Testicular dysmorphism. **# Hydronephrosis. **# Increased pressure within the tunica vaginalis.
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