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. Herein, we present a novel case of a Cowper's syringocele developed in adulthood that supports the suspicion for underdiagnosis, as well as one proposed mechanism of acquired etiology of Cowper's syringoceles involving incomplete or intermittent obstruction secondary to the application of external force of the leading to asymptomatic cystic dilation.
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http://dx.doi.org/10.1093/jscr/rjae250 | DOI Listing |
Urol Case Rep
January 2025
Fox Chase Cancer Center, Department of Urology, Philadelphia, PA, 333, Cottman Ave, Philadelphia, PA, 19111, USA.
Syringoceles are cystic dilations of the bulbourethral gland, also known as Cowper's gland. Syringoceles are a rare pathology with no standard treatment. Herein, we report the diagnosis and endoscopic management of an imperforate syringocele causing bothersome urinary symptoms in an adult male patient.
View Article and Find Full Text PDFJ Surg Case Rep
April 2024
Division of Trauma and Acute Care Surgery, Department of Surgery, Kern Medical Center, 1700 Mount Vernon Avenue, Bakersfield, CA 93306, United States.
Front Pediatr
November 2023
Department of Pathological Anatomy, Saint Petersburg State Pediatric Medical University, Saint Petersburg, Russia.
Rationale: Cystic dilatation of the bulbourethral gland duct (Cowper's syringocele, CS) is a rare urethral pathology. No more than 150 cases of CS have been reported in the literature, of which the vast majority are children with a unilateral location. Bilateral CS has been reported in eight cases; however, detailed anatomy and clinical manifestations have not been reported.
View Article and Find Full Text PDFUrol Case Rep
January 2023
The Catherine and Joseph Aresty Department of Urology, USC Institute of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Cureus
December 2022
Surgery, Lahore General Hospital, Lahore, PAK.
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.
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