The parents can be reassured that the majority of hydrocoeles resolve spontaneously within the first year of life (as the processus vaginalis gradually becomes obliterated). Thus in most cases the hydrocoele can be reviewed after the first year of life. If it persists then it can be assumed that the processus vaginalis will not close spontaneously and therefore surgical referral is indicated.
This advice is in contrast to that given if there is a hernia where surgical repair should be undertaken as soon as is convenient.
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