2020 Edition
| Editors: Maria Rosaria Raspollini, Antonio Lopez-Beltran

Hydrocele Testis

  • Caterina Fattorini
  • Antonio Lopez-Beltran
  • Maria Rosaria RaspolliniEmail author
Reference work entry
DOI: https://doi.org/10.1007/978-3-030-41894-6_4826


Acquired hydrocele


Accumulation of serous fluid between the visceral and parietal layers of the tunica vaginalis (Goldblum et al. 2017).

Clinical Features

  • Incidence

    Fairly common: Together with spermatocele, it affects about 1% of adult male individuals.

  • Age and sex

    Males of any age. Congenital hydroceles result from persistent communication between the tunica vaginalis and the peritoneal cavity. This communication is naturally obliterated usually before the age of 2 years.

  • Site and presentation

    Hydrocele presents as painless scrotal swelling and a feeling of heaviness.

  • Treatment

    In most cases, it disappears on its own. If it does not, surgery may be required.

  • Outcome

    This condition has a benign progress; however, patients need a follow up because hydrocele might recur. Most cases are related to infections and form over time; however, in case of rapid formation of Hydrocele, a neoplasia should be excluded.


Inflated scrotum with serous fluid. In rare...

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References and Further Reading

  1. Chekol, S. S., & Sun, C.-C. (2012). Malignant mesothelioma of the tunica vaginalis testis: Diagnostic studies and differential diagnosis. Archives of Pathology & Laboratory Medicine, 136, 113–117.CrossRefGoogle Scholar
  2. Goldblum, J., Lamps, L., McKenney, J., & Myers J. (2017). Rosai and Ackerman’s surgical pathology (11 ed.). Philadelphia: Elsevier.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Caterina Fattorini
    • 1
  • Antonio Lopez-Beltran
    • 2
    • 3
  • Maria Rosaria Raspollini
    • 1
    Email author
  1. 1.Histopathology and Molecular DiagnosticsUniversity Hospital CareggiFlorenceItaly
  2. 2.Pathology Service, Champalimaud Clinical CenterLisbonPortugal
  3. 3.Unit of Anatomic Pathology, Department of SurgeryCordoba University Medical SchoolCordobaSpain