The ultrasonographic (US) appearance of a syringocoele of the bulbourethral (Cowper) duct, with correlative urethrocystoscopic images, is demonstrated. An infant boy, 5 weeks of age, who presented with E. coli infection of the urinary tract also had bilateral hydroureteronephrosis, small bilateral simple ureterocoeles, and posterior urethral valve leaflets.
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Cowper's syringocele is a cystic dilation of the bulbourethral duct or gland. This rare pathology has historically been diagnosed in the pediatric population, with recent literature reporting an increased incidence in adults. Attempts have been made to classify Cowper's syringoceles by their appearance on imaging and endoscopy, however a simpler classification of unobstructed versus obstructed may be of more utility in directing management.
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Article Synopsis
- The Cowper glands and ducts are usually undetectable on imaging, but abnormalities are becoming more common due to improved imaging techniques.
- This article reviews the anatomy of these glands and the imaging findings related to various conditions, including Cowper duct syringocele, Cowperitis, and Cowper stones.
- It highlights the diagnostic roles of retrograde urethrography and MRI, and mentions the rarity of Cowper gland carcinoma and hyperplasia, which can sometimes mimic cancer in imaging results.
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