Vaginal hydrocoeles are the most common primary hydrocoele. They usually appear in middle-aged or elderly men, but are not uncommon in children. The condition is particularly common in the tropics.
The fluid in the tunica vaginalis surrounds the testis but does not extend into the cord and does not communicate with the peritoneal cavity.
The patient presents with a transilluminable scrotal swelling. The testis may be difficult to palpate.
About 5% of inguinal hernias are associated with a vaginal hydrocoele of the same side.
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