<prompt> Congenital hydrocele is best treated byEversion of sacExcision of sacLords procedureHerniotomy  <response>: Congenital hydrocele is best treated with herniotomy if they do not resolve spontaneously. Established acquired hydrocele often have thick walls. They are treated by subtotal excision of the sac. If the sac is small, thin walled and contains clear fluid, Lords operation is done. Jaboulays operation where the sac is eveed with placement of testis in a pouch created by dissection in the fascial planes of the scrotum, is an alternative. Reference : page 1328 Bailey and Loves sho practice of surgery 25th edition and page 1072 SRBs manual of surgery 5th edition 