A Case of Symptomatic Cowper's Syringocele in an Adult Male: Diagnosis and Management

Matta, Imad; Chalhoub, Khalil; Zahr, Rawad Abou; Ghazal, Georges; Huyghe, É.; Nohra, Joe

doi:10.1089/cren.2019.0011

Cited by 4 publications

(3 citation statements)

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“…Diagnostic testing typically involves a voiding antegrade or retrograde cystourethrogram which is an invasive technique requiring a urethral catheterization and radiation to the patient. However, it is a gold standard for diagnosing syringocele communication with the urethra [ 23 ]. Cystourethroscope, an invasive procedure, shows an imperforate syringocele as an extrinsic mass arising from the bulbar urethral floor, while a perforated syringocele would manifest as a pouch connecting to the bulbous urethra [ 24 ].…”

Section: Reviewmentioning

confidence: 99%

“…MRI also helps diagnose Cowper's syringocele by exhibiting a homogeneous cystic lesion with the advantage of being radiation-free non-invasive imaging with a broader field of vision. Nevertheless, it is much more expensive with little availability than the US or voiding cystourethrogram (VCUG) [ 20 , 23 ].…”

Section: Reviewmentioning

confidence: 99%

“…With a maximum follow-up period of almost two years in the Bevers et al case series, all four patients experienced complete resolution of the symptoms who underwent the deroofing procedure [ 14 , 17 ]. The successful implication of the Holmium: Yttrium Aluminum Garnet (YAG) laser for syringocele intervention which Piedrahita and Palmer initially proposed, is now more widely practiced, and recent case reports depicted that there is no need for urethral catheterization after this treatment [ 9 , 21 , 23 , 26 ]. Open methods, for instance, ligation of the Cowper's duct by transperineal approach, provide an alternative but are typically used after a failed unroofing attempt [ 27 ].…”

Section: Reviewmentioning

confidence: 99%

See 2 more Smart Citations

Cowper’s Syringocele: A Literature Review

Javed¹,

Shahid²,

Omar³

et al. 2022

Cureus

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Cowper’s syringocele is a rare but underdiagnosed cystic dilatation of the main ducts of Cowper’s gland. It is becoming more widely known in the adult population. Recent research proposes that syringoceles should be categorized according to the intraductal pressures causing ductal dilatation from mild to gross ultimately involving the gland itself. Although there may be some overlap in the clinical manifestations of different syringoceles, mildly dilated ducts are frequently asymptomatic. Moreover, moderate to gross duct dilatations can manifest as lower urinary tract symptoms (LUTS) or obstructive symptoms. A valid differential diagnosis is essential because these symptoms can be found in a wide range of severe illnesses. Syringocele can be diagnosed by ultrasonography in combination with voiding retrograde/antegrade cystourethrogram (VCUG), nevertheless, other procedures like cystourethroscopy, CT scan, and MRI scans can be helpful. Initially, conservative surveillance is advised, but if necessary, endoscopic marsupialization or surgical excision is the preferred treatment modality to address persistent problems.

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Section: Reviewmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%