A Case of Giant Cowper’s Gland Syringocele in an Adult Male Patient

Surana, Santosh; El-Shazly, Medhat K.; Allam, Adel; Jayappa, Sateesh; AlRefai, Deena

doi:10.1155/2015/682042

Cited by 10 publications

(12 citation statements)

References 9 publications

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“… 1 Syringoceles – which on MRI are seen as a cystic lesion extending from the bulbourethral glands potentially impressing on the bulbous urethra –, are usually an incidental finding without clinical implications, rarely presenting with either irritative or obstructive symptoms. 3 A local inflammatory process referred to as Cowperitis has also been reported and is rare, occasionally progressing to sepsis. 4 Cowper's gland calcifications have been reported in elderly patients.…”

Section: Discussionmentioning

confidence: 99%

Rare prostate cancer mimic on multiparametric MRI: Cowper's gland hyperplasia

Desai

Jia

Leon

et al. 2021

Urology Case Reports

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Multiparametric MRI and targeted biopsies of the prostate have been increasingly utilized in men with elevated PSA. It is important to recognize potential mimics of prostate cancer on MRI and on biopsy specimens. Familiarity with the location, imaging and histological appearance of Cowper's glands will prevent misdiagnosis and help avoid unnecessary biopsies. We present a case of Cowper's gland hyperplasia with a review of its imaging and histopathologic characteristics.

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Section: Discussionmentioning

confidence: 99%

Rare prostate cancer mimic on multiparametric MRI: Cowper's gland hyperplasia

Desai

Jia

Leon

et al. 2021

Urology Case Reports

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“…VCUG and MRI confirmed the diagnosis. Open excision of cyst using a perineal approach and closure of the urethra resulted in complete resolution of symptoms …”

Section: Discussionmentioning

confidence: 99%

Urethral syringocele: unseen but existing

Saadat

Borzi

Patel

et al. 2019

ANZ Journal of Surgery

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Background: Bulbourethral syringocele is an uncommon and under-diagnosed condition most commonly seen in the paediatric population, although there is increasing recognition in adults. Due to the difficulty in diagnosis, we report our experience of urethral syringocele in a quaternary paediatric hospital, with differing presentations, diagnosis and treatment. Methods: This is a retrospective review of seven cases of children over a period of 14 years, including their presentations, diagnosis, treatment and follow-up. A review of the current literature is presented. Results: The median age of these seven cases at presentation was 11 years (6 days to 16 years). Clinical features varied with age, with obstructive uropathy in a neonate, urinary tract infection in an infant, scrotal abscess in two children and lower urinary tract obstructive symptoms in three teenagers. Diagnostic voiding cystogram diagnosed the majority of syringoceles and two were seen on magnetic resonance imaging. Five boys underwent endoscopic transurethral deroofing and two children required transperineal marsupialization. Long-term follow-up showed all had complete resolution of symptoms. Conclusion: Urethral syringocele presents from the neonatal period to late adolescence, with the presenting features reflective of age. Surgical management can be performed endoscopically or by open approach. Awareness of this condition and inclusion in the differential diagnosis, particularly in the setting of an atypical or recurrent scrotal abscess, could avoid a prolonged therapeutic course.

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“…Etiology of this condition is not clear; it can be congenital or acquired. 5 Traditionally four types of syringocele are described. 1 , 3 Our patient had type III syringocele according to Maizels classification.…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

“…Endoscopic intervention has become the preferred treatment for symptomatic syringocele. 3 , 5 Unroofing the cyst or marsupialization is a relatively simple and effective way of treatment, using cold knife or holmium YAG laser. It can be used for both open and closed syringocele.…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

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Cowper's Syringocele in Adolescent Male: Case Report

Taskovska

Hawlina

2017

Journal of Endourology Case Reports

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Background: Cowper's syringocele is a rare condition, uncommon in the adult population. It is more common in the pediatric population. Patients could be asymptomatic or present with irritative and/or obstructive symptoms. Ultrasonography (US) of perineal region, pelvis MRI, or urethrography are the most often used diagnostic modalities. Surgical treatment is indicated in all symptomatic patients. Endoscopic approach is preferred over open surgery. Unroofing of syringocele with cold knife or holmium yttrium aluminium garnet (YAG) laser is effective treatment.Case Presentation: A 17-year-old Caucasian male presented at our emergency department with irritative symptoms. US of perineal region showed cystic formation near urethra. Pelvis MRI showed Cowper's gland syringocele. Endoscopic unroofing with holmium YAG laser was performed. Six months postoperatively the patient was asymptomatic and satisfied with the treatment.Conclusion: Cowper's syringocele is a rare condition. Urologist should consider this condition in pediatric and adolescent patients with irritative and/or obstructive symptoms. Pelvis MRI and perineum US are the main diagnostic tools. Surgical treatment is effective. Endoscopic approach is preferred. Open surgery is indicated in complicated cases and in cases when endoscopic treatment fails.

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A Case of Giant Cowper’s Gland Syringocele in an Adult Male Patient

Abstract: Cowper's gland syringocele is an uncommon, underdiagnosed cystic dilatation of Cowper's gland ducts showing various radiological patterns. Herein we report a rare case of giant Cowper's gland syringocele in an adult male patient, with description of MRI findings and management outcome.

Cited by 10 publications

References 9 publications

Rare prostate cancer mimic on multiparametric MRI: Cowper's gland hyperplasia

Rare prostate cancer mimic on multiparametric MRI: Cowper's gland hyperplasia

Urethral syringocele: unseen but existing

Cowper's Syringocele in Adolescent Male: Case Report

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