Urology: hydrocele surgery: practice question

A General Surgery question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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General Surgery · Urology: hydrocele surgery

Sample item

A 50-year-old man has a large, tense, painless primary vaginal hydrocele. Which procedures are used for its repair?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Jaboulay eversion of the sac or Lord plication

Adult vaginal hydrocele is treated by excision and eversion of the sac (Jaboulay) or plication (Lord). Congenital hydrocele communicating with the peritoneal cavity in children is managed by herniotomy through an inguinal incision. Aspiration recurs.

Option by option

  • A. Herniotomy with high ligation only

    Herniotomy is for congenital communicating hydrocele.

  • B. Jaboulay eversion of the sac or Lord plication (correct)

    Correct. Eversion or plication are standard.

  • C. Orchidectomy

    Orchidectomy is excessive.

  • D. Repeated aspiration as definitive therapy

    Aspiration has a high recurrence.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this General Surgery question

What is the answer to this General Surgery question?

The best answer is B, Jaboulay eversion of the sac or Lord plication. Adult vaginal hydrocele is treated by excision and eversion of the sac (Jaboulay) or plication (Lord).

Why is "Herniotomy with high ligation only" not the answer?

Herniotomy is for congenital communicating hydrocele.

Why is "Orchidectomy" not the answer?

Orchidectomy is excessive.

Why is "Repeated aspiration as definitive therapy" not the answer?

Aspiration has a high recurrence.

What concept does this question test?

It tests Urology: hydrocele surgery in General Surgery. Congenital hydrocele communicating with the peritoneal cavity in children is managed by herniotomy through an inguinal incision. Aspiration recurs.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Urology: hydrocele surgery?

Learn classic signs and eponyms alongside what they diagnose. Then use the flashcards and the other General Surgery questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.