Imaging of the Bulbourethral (Cowper) Gland: Abnormalities and Differential Diagnosis

Takahashi, Hiroaki; Potretzke, Theodora A.; Kawashima, Akira; Cheville, John C.; Masuoka, Sota; Kim, Bohyun

doi:10.1148/rg.220099

Cited by 6 publications

(9 citation statements)

References 39 publications

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“…The close proximity of the mass to the external anal sphincter likely contributed to the patient’s anorectal symptoms. Contemporary use of pelvic MRI has led to incidental findings of Cowper’s syringocele [ 9 ], and it has aided in the diagnosis of other large syringoceles presenting acutely [ 7 , 10 ]. Penile and perineal ultrasound has also been used in this context [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Large, infected Cowper’s syringoceles: a rare cause of perineal sepsis in adult men

Adasonla

Pathak

2022

Journal of Surgical Case Reports

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Urologists and general surgeons alike are familiar with assessing acute perineal pathology. A Cowper’s gland syringocele is a rare cystic dilatation of the male bulbourethral gland, typically seen in children. We report the diagnosis and emergency management of two adult cases of large, infected Cowper’s gland syringoceles. A comorbid 76-year old was diagnosed with sepsis and penile swelling, but there was no discrete superficial pathology. Magnetic resonance imaging (MRI) revealed a perineal collection communicating with the membranous urethra. A suprapubic catheter was inserted, and aspiration was attempted. Meanwhile, a 55-year-old diabetic presented with severe perineal pain. MRI revealed a deep perineal collection, involving the scrotum and proximal penis. He improved with antibiotics and aspiration of the collection. This rare diagnosis may be more common in older men than previously thought. Pelvic MRI is a key diagnostic tool. A minimally invasive approach is possible in those with considerable perioperative risk.

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Section: Discussionmentioning

confidence: 99%

Large, infected Cowper’s syringoceles: a rare cause of perineal sepsis in adult men

Adasonla

Pathak

2022

Journal of Surgical Case Reports

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“…Based on its communication with the urethra, it is divided into open type and closed type. 30 These can be congenital or acquired, and encountered more often in pediatric population. The majority of them are asymptomatic.…”

Section: Cowper's (Bulbourethral) Duct Cystsmentioning

confidence: 99%

“…Cowper's glands are paired structures located on either side of the urogenital diaphragm at the level of the membranous urethra. 30 Secretions from each gland drain into individual ducts that join to form a single duct that empties into the proximal bulbar urethra. 31 The dilatation of the duct called syringocele is very rare and develops due to duct obstruction.…”

Section: Prostatic and Periprostatic Cysts And Their Mimicsmentioning

confidence: 99%

Imaging of Non-malignant Conditions of the Prostate and Seminal Vesicles: A Comprehensive Review

Chandramohan,

Augustine,

Lakhani

et al. 2024

Journal of Gastrointestinal and Abdominal Radiology

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Non-malignant conditions of the prostate and seminal vesicles are much more common in imaging practice than prostate cancer. They include benign prostatic hyperplasia, infective and inflammatory prostatitis, prostatic and periprostatic cysts, and benign tumors. The advances in magnetic resonance imaging (MRI) of the prostate gland have dramatically improved the ability to identify these entities, many of them being identified incidentally in patients evaluated for other indications. Good knowledge of these conditions can aid in precise diagnosis and avoid interpretation pitfalls. In this article, we present non-malignant conditions of the prostate gland using several imaging modalities, including transrectal ultrasound, MRI, and computed tomography. We also present the pathological correlation for benign tumors.

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“…Urethra is involved in various diseases such as congenital obstruction, malignant, and infectious diseases, or traumatic changes. 1 Urethral diseases are usually evaluated using retrograde urethrography, voiding cystourethrography, ultrasound with or without a contrast agent, and magnetic resonance imaging. 2 Among these modalities, ultrasound is paramount in pediatric patients owing to the lack of radiation exposure, sedation, and real-time evaluation at the patient's bedside.…”

Section: Ultrasound For the Evaluation Of The Urethra In Pediatric Pa...mentioning

confidence: 99%

“…Cawper gland opens into the bulbar urethra, and spermatocele, malignant disease, hematoma, or infection may occur. 1 Traumatic hemorrhage occurring within Cawper gland is difficult to visualize via abdominal ultrasound because of its deep location. Therefore, a transducer placed on the scrotum may be useful to visualize the lesion in this area.…”

Section: Ultrasound For the Evaluation Of The Urethra In Pediatric Pa...mentioning

confidence: 99%

Ultrasound for the evaluation of the urethra in pediatric patients

Hosokawa,

Ohashi,

Yoshizawa

et al. 2024

J of Clinical Ultrasound

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Imaging of the Bulbourethral (Cowper) Gland: Abnormalities and Differential Diagnosis

Cited by 6 publications

References 39 publications

Large, infected Cowper’s syringoceles: a rare cause of perineal sepsis in adult men

Large, infected Cowper’s syringoceles: a rare cause of perineal sepsis in adult men

Imaging of Non-malignant Conditions of the Prostate and Seminal Vesicles: A Comprehensive Review

Ultrasound for the evaluation of the urethra in pediatric patients

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