Testicular Exstrophy in a Newborn: Report of a Case and Review of Literature

Case Gallery

A 2-day-old male newborn, weighing 2 kg, was admitted with his left testis popping out from neck of the left hemiscrotum ([Fig. 1]). The testicular size was appropriate for age (1.5 × 1 cm). It was hanging from normal looking cord structures. However, testis and cord was covered with a yellowish slough. The right testis and penis was normal. Gubernaculum was normal in appearance. No other congenital anomaly could be noted. On exploration, after washing with saline, slough could be removed and testis could be dissected easily from adjoining structures. Dartos pouch was created and orchidopexy was performed.

Fig. 1 Left testicular exstrophy.

Postoperative recovery was uneventful. Follow-up up to 1 year showed bilaterally symmetrical gonads of adequate size.

• References

• 1 Vonder Leyen UE. Eine Selteneangeborene Fehllagerung des Hodens. Chirurgie 1963; 34: 521
• 2 Kojori F, DeMaria J. Scrotoschisis associated with meconium periorchitis. J Pediatr Urol 2007; 3 (5) 415-416
• 3 Jain UK, Pratap D, Kumar S, Jain PN. Congenital exstrophy of the testis: a case report. Indian J Surg 1991; 53: 228
• 4 Heyns CF. Exstrophy of the testis. J Urol 1990; 144 (3) 724-725
• 5 Gupta DK, Bajpai M, Rattan S. Testicular exstrophy: bilateral presentation in a newborn. J Urol 1997; 158 (2) 599