Scrotoschisis: An extremely rare scrotal wall anomaly.

Scrotoschisis, also known as extracorporeal testicular ectopia, is an exceedingly rare congenital abnormality that affects the wall of the scrotum. In this condition, the testis exteriorizes through an opening in the anterior scrotal wall. The exact etiology for scrotoschisis is still unknown; however, many theories arose to explain its occurrence. Herein, we report 19th case in the literature in a 2-day-old boy who presented with an eviscerated right testis. We highlighted the possible etiologic hypotheses and management considerations as well.

Ectopic opening of vasa deferentia into a prostatic utricle cyst.

Prostatic utricle cysts result from incomplete regression of the Müllerian duct remnant or decreased androgenic stimulation of the urogenital sinus. Children usually present with urinary tract infections (UTIs), irritative symptoms and urine retention, although some cases are asymptomatic. These cysts sometimes can cause a palpable abdominal mass, urethral discharge, terminal hematuria and recurrent epididymitis. A high incidence of such cysts is seen in boys with hypospadias, especially the more proximal types.