Bilateral Cowper’s Syringocele in a Teenager: A Clinical Case

Abstract

Background: Cystic enlargement of the excretory ducts of the bulbourethral glands (Cowper’s gland syringocele) (CGS) is a rare urethral pathology. This condition was first described in 1976. No more than 150 cases of CGS have been described in the literature, the vast majority of them in children. Bilateral CGS was mentioned in 8 cases. Descriptions of bilateral CGS with connection of cavities through the medial septum have not been found in the literature. We report a successful minimally invasive treatment of bilateral open CGS in an adolescent. Case presentation: A 16-year-old teenager came to the clinic with complaints of painful urination and post-micturition drip of urine. Sick for 2 years. Examination revealed bilateral CGS. Surgical treatment was performed: endoscopic resection of the roof and septum of the CGS chambers. At the control examination after 7 months, the complaints stopped, there was a complete normalization of urodynamics and recovery of the patient. Conclusion: Urethroscopy, MRI and retrograde urethrography allowed the diagnosis. Minimally invasive surgical treatment of dual chamber CGS was successful and had no complications.