Department of Pediatric Urology, Children's National Medical Center, Washington, DC, USA.
PURPOSE: A simple transcrotal approach to the surgical treatment of abdominoscrotal hydrocele is presented. MATERIALS AND METHODS: Via a scrotal incision the hydrocele sac is drained and the wall is everted and plicated in the manner described by Lord. RESULTS: The hydrocele is eliminated with a decreased risk of damage to the spermatic cord and epididymis. There has been no recurrence. CONCLUSIONS: The scrotal approach to abdominoscrotal hydrocele is a simple, safe and effective method of managing this relatively uncommon problem.