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Cowper's Syringocele in Adolescent Male: Case Report.

Title: Cowper's Syringocele in Adolescent Male: Case Report.
Authors: Taskovska M; Department of Urology, University Medical Centre Ljubljana, Ljubljana, Slovenia.; Hawlina S; Department of Urology, University Medical Centre Ljubljana, Ljubljana, Slovenia.
Source: Journal of endourology case reports [J Endourol Case Rep] 2017 Sep 01; Vol. 3 (1), pp. 130-133. Date of Electronic Publication: 2017 Sep 01 (Print Publication: 2017).
Publication Type: Case Reports; Journal Article
Language: English
Journal Info: Publisher: Mary Ann Liebert, Inc Country of Publication: United States NLM ID: 101684114 Publication Model: eCollection Cited Medium: Print ISSN: 2379-9889 (Print) Linking ISSN: 23799889 NLM ISO Abbreviation: J Endourol Case Rep Subsets: PubMed not MEDLINE
Imprint Name(s): Original Publication: New Rochelle, NY : Mary Ann Liebert, Inc., [2015]-[2020]
Abstract: Background: Cowper's syringocele is a rare condition, uncommon in the adult population. It is more common in the pediatric population. Patients could be asymptomatic or present with irritative and/or obstructive symptoms. Ultrasonography (US) of perineal region, pelvis MRI, or urethrography are the most often used diagnostic modalities. Surgical treatment is indicated in all symptomatic patients. Endoscopic approach is preferred over open surgery. Unroofing of syringocele with cold knife or holmium yttrium aluminium garnet (YAG) laser is effective treatment. Case Presentation: A 17-year-old Caucasian male presented at our emergency department with irritative symptoms. US of perineal region showed cystic formation near urethra. Pelvis MRI showed Cowper's gland syringocele. Endoscopic unroofing with holmium YAG laser was performed. Six months postoperatively the patient was asymptomatic and satisfied with the treatment. Conclusion: Cowper's syringocele is a rare condition. Urologist should consider this condition in pediatric and adolescent patients with irritative and/or obstructive symptoms. Pelvis MRI and perineum US are the main diagnostic tools. Surgical treatment is effective. Endoscopic approach is preferred. Open surgery is indicated in complicated cases and in cases when endoscopic treatment fails.
Competing Interests: No competing financial interests exist.
References: Int Braz J Urol. 2010 Jan-Feb;36(1):3-9. (PMID: 20202229); Case Rep Urol. 2015;2015:682042. (PMID: 26413368); ScientificWorldJournal. 2004 Jun 07;4 Suppl 1:308-10. (PMID: 15349553); J Urol. 1983 Jan;129(1):111-4. (PMID: 6827661); Int J Urol. 2000 Sep;7(9):340-2. (PMID: 11020059)
Contributed Indexing: Keywords: Cowper's gland; LUTS; adolescent; endoscopic unroofing; syringocele
Entry Date(s): Date Created: 20171104 Latest Revision: 20200930
Update Code: 20260130
PubMed Central ID: PMC5655840
DOI: 10.1089/cren.2017.0086
PMID: 29098194
Database: MEDLINE

Case Reports; Journal Article