Giant multicystic cystadenoma of Cowper's gland: a case report

Abstract

CAsE REPORTA 41-year-old man consulted his general physician complaining of dysuria and mild pain located in the hypogastric region. He had no other urinary tract symptom. His past medical and family history were unremarkable. He was diagnosed with a urinary tract infection (UTI) and received proper pharmacological treatment, which improved the symptoms.Two months later, he presented with acute urinary retention, hence a transurethral catheter was placed. He was referred to the Urology clinic at our institution with a prostatic specific antigen (PSA) of 32 ng/mL (< 4ng/mL). We did not consider this PSA levels to be reliable due to the recent manipulation of the urinary tract. Urinalysis revealed 22 leucocytes per high power field (pHPF), 12 red blood cells pHPF and positive nitrites. The transcatheter urine culture was positive for E. coli and K. pneumonia; both were sensitive to cefixime and he received 400mg qd for 10 days. The rest of the tests were within normal range values.Physical examination revealed a non--tender perineal mass without signs of inflammation. During rectal examination a mobile tumor occluded the rectal lumen and was in continuity with the perineal mass. The prostate was not properly identified. The borders of the tumor were not reachable. no palpable mass was identified in abdominal examination.

Robotic surgery in giant multilocular cystadenoma of the prostate: A rare case report

“…Giant multilocular cystadenomas (GMC) are extremely rare benign tumors that originate in the prostate, less frequently in the seminal vesicles[ 1 ] and Cowper’s glands[ 2 ]. So far, there are still no more than 30 cases reported, according to our latest review[ 3 ].…”

Multimodality approach to imaging giant multilocular cystadenoma of the prostate: A rare entity

“…Multilocular cystadenoma of the lower genitourinary tract are benign lesions that originate from the prostate, less frequently from the seminal vesicles [1] and Cowper's glands [2]. It is usually characterized as multi-locular cysts that vary in size and location, most commonly between the rectum and the bladder.…”