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A hydrocele (HI-droe-seel) is a type of swelling in the scrotum, the pouch of skin that holds the testicles. This swelling happens when fluid collects in the thin sac that surrounds a testicle. Hydroceles are common in newborns. They often go away without treatment by age 1. There are 4 types of primary hydrocele: (1) congenital hydrocele, which occurs when the processus vaginalis is patent and communicates with the peritoneal cavity; (2) infantile hydrocele, in which the processus vaginalis gets obliterated at the level of the deep inguinal ring; (3) encysted hydrocele of the cord, in which both the proximal and the distal portions of the processus vaginalis get obliterated; and (4) vaginal hydrocele, in which the processus vaginalis remains patent only around the testes. Secondary hydrocele usually occurs as a result of an underlying condition, such as infection (filariasis, tuberculosis of the epididymis, syphilis), injury (trauma, post-herniorrhaphy hydrocele), or malignancy. #basicmedicalcontent #drk #basicmedical #medlife #education #doctor #anatomy #hydroceles #testicles #malignancy