Endoscopic management of adolescent closed Cowper's gland syringocele with holmium:YAG laser

Becerra, Maria F.; Smith, Nicholas A.; Bhat, Abhishek; Shah, Hemendra N.

doi:10.1016/j.ajur.2021.06.008

Cited by 4 publications

(4 citation statements)

References 10 publications

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“…Treatment with YAG laser is also described in the literature [7], endoscopic ablation and fragmentation of the cyst walls is the preferred method of surgical treatment. Despite a signi cant amount of scar tissue in the removed fragments of the syringocele, postoperative healing was favorable and there was no formation of scarring of the urethra after surgery.…”

Section: Discussionmentioning

confidence: 99%

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

Осипов

Lebedev

Uzintseva

et al. 2023

Preprint

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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.

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Section: Discussionmentioning

confidence: 99%

“…Several methods of surgical correction of the defect have been studied in the literature. Removal or incision of the cyst walls is usually performed, in some cases, after preliminary diversion of urine with signi cant bladder outlet obstruction [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

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

Осипов

Lebedev

Uzintseva

et al. 2023

Preprint

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“…It is derived from the Greek words "syringo" which means tube and "cele" which means swelling. It is a cystic dilatation of the main ducts of the Cowper's gland [ 9 ]. It can be inherited or acquired.…”

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%

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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