Undescended Testis, Hernia and Hydrocele

Groin bulges, scrotal swelling and nonpalpable testes are findings that often surface during routine well-child exams. They can raise immediate questions for pediatricians and families alike. Is this normal? Will it resolve on its own? Or does it require surgical referral? In this episode, we take a closer look at three common genitourinary conditions in children: inguinal hernias, hydroceles and undescended testes. We diagnose the details to clarify the evaluation process, management strategies and referral guidelines. 

This episode was recorded on the exhibit floor at the 2025 American Academy of Pediatrics Conference in Denver, Colorado. Joining us is Eric Bortnick, MD. He is a Urologist and Assistant Professor of Urology at the Yale School of Medicine.

In this episode, our urology expert discusses: 

• How common these conditions are in the pediatric population 
• When pediatricians can help treat these patients versus when referral to refer. 
• Key takeaways to performing a successful physical exam 
• Creating a safe space for proper diagnosis