This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Testis and scrotum, Subject name: Surgery
Congenital hydrocele is best treated by: 
Select and explain. 
A. Eversion of sac, B. Excision of sac, C. Lords procedure, D. Herniotomy
D: Herniotomy
Answer: D: Herniotomy 
Explanation: Congenital hydrocele (Communicating hydrocele) Patent processus vaginals allows peritoneal fluid to freely communicate. Size of hydrocele fluctuates, usually related to activity Congenital hernia has the same defect. UDT are commonly associated. Wait for 2 years for spontaneous closure. Otherwise the treatment is herniotomy