Though the reported frequency of infant hydrocele has varied, the freq
uency of hydrocele in the fetus has not been studied. Our purpose was
to determine the frequency of fetal hydrocele in the third trimester a
nd subsequent outcome. Of the 123 fetuses studied, 19 fetuses had hydr
oceles. Of these, 14 babies were normal at follow-up, one baby had a p
ersistent hydrocele, and four babies were lost to follow-up. Our study
suggests that hydrocele is a relatively common finding in the third t
rimester in utero. Moreover, it suggests that parents can be reassured
that, in the absence of other abnormalities, a hydrocele is usually a
physiologic finding which resolves spontaneously.