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Testicular and Scrotal Anomalies

By Ronald Rabinowitz, MD, Professor of Urology and Pediatrics, University of Rochester Medical Center ; Jimena Cubillos, MD, Associate Professor of Clinical Urology and Pediatrics, University of Rochester School of Medicine and Dentistry

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The most common anomalies are

Rare anomalies include scrotal agenesis, hypoplasia, ectopia, or hemangioma; penoscrotal transposition; and bifid scrotum.

Congenital hydrocele

A congenital hydrocele is a collection of fluid in the scrotum between layers of the tunica vaginalis. It may be isolated (noncommunicating) or may communicate with the abdominal cavity through a patent processus vaginalis (a potential hernia space). Hydrocele manifests as a painless, enlarged scrotum. The condition may resolve spontaneously but usually requires repair if it persists after 12 mo or if it enlarges.

Congenital hydrocele.

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