What is the usual management approach for hydrocele in newborns and infants?

In the case of hydrocele in newborns and infants, the usual management approach is observation, as many hydroceles resolve spontaneously without any intervention. This is largely due to the nature of hydroceles in this age group, which are often caused by a collection of fluid in the tunica vaginalis, related to the incomplete closure of the processus vaginalis. Over time, as the infant grows and the anatomical structures further develop, the hydrocele typically resolves by itself, often within the first year of life.

Surgical intervention, while sometimes necessary in older children or persistent cases, is not the standard procedure for newborns with simple hydrocele because the risks and the need for surgery generally do not outweigh the potential for natural resolution. Similarly, methods such as applying cold compresses or regular ultrasound follow-up may not be warranted as they do not contribute to the resolution of the condition in the majority of cases.

Thus, the best management approach is to monitor the condition, allowing for natural resolution while providing reassurance to the parents.