Bedside repair of scrotoschisis with local anaesthesia for a neonate with bilateral testicular evisceration.

Abstract

Scrotoschisis is a congenital opening in the scrotal wall that allows extrusion of one or both testicles. We describe a newborn male who was found to have exteriorisation of both testes through a 2 cm midline defect in the anterior wall of the scrotum. Both testes were stained with meconium. Repositioning of the testes and repair of the scrotal wall was performed at the bedside with local anaesthesia a few hours after birth. This case highlights the potential for standardisation of this approach, in contrast to most prior reports that involved surgical intervention with general anaesthesia. We also note that the 5-0 chromic gut horizontal mattress sutures used for scrotal closure resulted in multiple suture tracts, suggesting the need to consider more rapidly absorbing suture material and/or a different closure technique.