We do not provide medical advice. Four groups of syringoceles have been described 2: May be seen a unilocular cystic lesion at the posterior or posterolateral aspect of the posterior urethra 8. Treatment options include surgical incision of the obstructed duct (considered generally curative). Melquist J, Sharma V, Sciullo D, McCaffrey H, Khan SA. Symptoms attributed to Cowper's syringocele in adults consist of lower urinary tract symptoms. There are 4 groups of Cowper's syringoceles: 1) simple syringocele--a minimally dilated duct, 2) perforate syringocele--a bulbous duct that drains into the urethra via a patulous ostium and appears as a diverticulum, 3) imperforate syringocele--a bulbous duct that resembles a submucosal cyst and appears as a radiolucent mass, and 4) ruptured syringocele--the fragile … Disorders of the bulbourethral gland and ducts are often overlooked since symptoms can mimic other disorders of the reproductive tract. The inflammation is usually caused by infections from the same organisms that cause urinary tract infections, for example; E. … Radiological and clinical aspects. This site needs JavaScript to work properly. Clipboard, Search History, and several other advanced features are temporarily unavailable. 2017 Feb;13(1):52.e1-52.e5. (2009) British journal of hospital medicine (London, England : 2005). Cowper's syringocele is a rare deformity in the male urethra that is a distention of the duct of the bulbourethral (Cowper's) gland. OBJECTIVE AND INTRODUCTION: Cowper's syringocele is a cystic dilation of the bulbourethral gland duct, initially defined by Maizels et al. It is more common in the pediatric population. I have a rather interesting/alarming thing occurring. Blasl F, Rösch WH, Koen M, Ardelean MA, Ebert AK. Türker Köksal I, Erdoğru T, Usta M, Ateş M, Baykara M. Unexpected presentation of syringocele. Unexpected presentation of syringocele. Cowper's syringocele: A rare differential diagnosis of infravesical obstruction in boys and young adults. 2003;71(2):222-3. doi: 10.1159/000071853. Abstract Background: Cowper's syringocele is a rare condition, uncommon in the adult population. The Cowper glands and ducts were named for William Cowper (1666–1709), an English surgeon, who described the detailed anatomy of the bulbourethral glands in 1699. Cowper's syringocele was diagnosed in 7 patients 25 to 51 years old with persistent post-void dribbling, frequency, urethral pain, hematuria or sudden urethral discharge. What are the symptoms of Cowper’s syringocele?  |  Radiology. ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. Acontractile bladder. Introduction and objective: Syringocele is a rare cystic dilatation of the duct of Cowper's gland, afflicting mostly the pediatric population. It isnt truly a problem I suppose, but there is some embarrassment that goes along with this. Syringoceles have a wide range of symptoms and may cause urethral obstruction. Türker Köksal I, Erdoğru T, Usta M, Ateş M, Baykara M. Urol Int. Cowper's syringocele: symptoms, classification and treatment of an unappreciated problem. It is rare to have double obstruction in both anterior as well as posterior urethra and we describe a case of syringocele in association with posterior urethral valves as a cause of double obstruction. The common symptoms of this problem are urinary tract infection, fever or lack of control when passing urine. Patients could be asymptomatic or present with irritative and/or obstructive symptoms. We report a rare association of Cowper's syringocele with posterior urethral valves in a 4-year-old child, which was successfully managed endoscopically. Erlangen experience in two example cases. Syringocele Cowper's syringocele is an uncommon deformity in the male urethra that is a cystic distention of the duct of the Cowper's gland. Surana S, Elshazly M, Allam A, Jayappa S, AlRefai D. A Case of Giant Cowper's Gland Syringocele in an Adult Male Patient. J Urol. It is rare to have double obstruction in both anterior as well as posterior urethra and we describe a case of syringocele in association with posterior urethral valves as a cause of double obstruction. Kajiwara M, Inoue K, Kato M, Usui A, Matsubara A, Usui T. Int J Urol. Epub 2016 Oct 8. The usual manifestations are haematuria (especially ruptured). To be fair to Cowper, he never claimed to have discovered his eponymous glands 11! Current diagnosis and management of syringocele: a review. These cysts can be asymptomatic or cause lower urinary tract symptoms by compressing the urethra. COVID-19 is an emerging, rapidly evolving situation. Int Braz J Urol. Cowper's syringocele: symptoms, classification and treatment of an unappreciated problem. Every time I sit for a while, when I stand I … Prevention and treatment information (HHS), NLM Brandes SB. SYRINGOCELES [i] A bulbourethral syringocele is a dilation of the duct that leads from the bulbourethral gland to the urethra (the white cord shown in the illustration on the next page). doi:10.1148/radiographics.21.suppl_1.g01oc24s283, bulbous duct that drains into the urethra via a patulous ostium, imperforate syringocele: bulbous duct that resembles a submucosal cyst and appears as a radiolucent mass, ruptured syringocele: fragile membrane that remains in the urethra after a dilated duct ruptures. 1 Sudden urethral discharge occurs if a closed syringocele ruptures.  |  In 2 patients asymptomatic open syringocele was diagnosed. However, due to its rarity, there have been few clues to proceed with further investigation. Since the symptoms of syringocele are non-specific, a number of possibly more serious conditions can be at play. They can cause voiding dysfunction in male children and usually occur in isolation. Most cases are asymptomatic, basically affecting children and adolescents. Kickuth R, Laufer U, Pannek J, Kirchner TH, Herbe E, Kirchner J. Cowper's syringocele: diagnosis based on MRI findings. They also makes pre-ejaculate fluid, which is … Cowper’s gland syringocele is an uncommon, underdiagnosed cystic dilatation of Cowper’s gland ducts showing various radiological patterns. Radiographics : a review publication of the Radiological Society of North America, Inc. 21 Spec No: S283-98; discussion S298-9. Moskowitz PS, Newton NA, Lebowitz RL. Traditionally, Cowper's syringocele has been known as a condition affecting pediatric population; however, it is rarely diagnosed in adults . We report a case of a sym …  |  Symptoms attributed to Cowper’s syringocele in adults consist of lower urinary tract symptoms, such as frequency, urgency, dysuria, weak stream, post-void incontinence, recurrent urinary tract infections and hematuria. It can be asymptomatic or present with obstructive and irritative urinary symptoms. Yaffe D, Zissin R. Cowper's glands duct: radiographic findings. They can cause voiding dysfunction in male children and usually occur in isolation. 120 (2): 377-80. Case Rep Urol. They can cause voiding dysfunction in male children and usually occur in isolation. Affected patients may present with postvoid dribbling, urinary frequency, weak stream, or hematuria. Cowper's syringocele is a rare deformity in the male urethra that is a distention of the duct of the bulbourethral (Cowper's) gland. 129 (1): 111-4. We report a rare association of Cowper's syringocele with posterior urethral valves in a 4-year-old child, which was successfully managed endoscopically. 2010 Jan-Feb;36(1):3-9. The other symptoms are blood discharge in the urethra (urine) known as hematuria, painful urination (dysuria) and post-void dribbling (leakage of a small volume of urine immediately after … 2015; 2015:682042. 32 (1): 56-8. Retention cysts of Cowper's duct. Unable to process the form. Syringocele is a rare deformity of the male urethra, that consists of a cystic dilation of the main duct of Cowper’s bulbourethral gland. Best regards, Jordan Dimitrakov, MD This information is forwarded to you by the Prostatitis Foundation. Urethral syringoceles are cystic dilatations of paired bulbourethral glands of Cowper. Melquist J, Sharma V, Sciullo D, McCaffrey H, Khan SA. 36 (1): 3-9. 9. The Journal of urology. The symptoms of the two types of syringocele can be categorized, albeit with some overlap. Ultrasonography (US) of perineal region, pelvis MRI, or urethrography are the most often used diagnostic modalities. Anterior urethral valves in children: a possible association between anterior urethral valves and Cowper's duct cyst. J Pediatr Urol. We could recognize an outlet of Cowpers gland (arrow). My Bulbourethral (Cowpers) gland has become very active. Pretorius ES, Siegelman ES, Ramchandani P, Banner MP. Syringocoele of Cowper’s gland is a rare congenital abnormality that can cause obstructive or irritative symptoms. Scandinavian journal of urology and nephrology. Cowper's syringocele may be closed (a distended cyst-like swelling in the wall of the urethra) or open (an opening enabling urine reflux into the syringocele). Usually seen as a midline oval structure at the penile base adjacent to the ventral aspect of the proximal bulbous urethra. 163 (3): 782-4. We do not provide medical advice. 31 (3): 313-5. 4. USA.gov. Cowper's syringocele--a rare malformation of the male urethra. International braz j urol : official journal of the Brazilian Society of Urology. This entity is common in the pediatric population but is rare or underdiagnosed in the adult population. 2006;76(2):182-5. doi: 10.1159/000090886. 2010 Jan-Feb;36(1):3-9. The other rarer causes are anterior urethral valves/diverticula, urethral duplications, Cowpers’ syringocele etc. Cowperitis. The Journal of urology. It is more common in the pediatric population. Urethral syringoceles are cystic dilatations of paired bulbourethral glands of Cowper. Although obstructive and non-obstructive types of this rare anomaly are described, clinical symptoms are highly unspecific. Symptoms attributed to Cowper’s syringocele in adults consist of lower urinary tract symptoms. Shebel HM, Farg HM, Kolokythas O, El-Diasty T. Cysts of the lower male genitourinary tract: embryologic and anatomic considerations and differential diagnosis. 2. Cowper's syringocele: a classification of dilatations of Cowper's gland duct based upon clinical characteristics of 8 boys. Acontractile bladder. Background: Cowper's syringocele is cystic dilation of the excretory bulbourethral gland duct. 3. Cystic dilatation of bulbourethral gland ducts (Cowper’s gland syringocele) is a rare abnormality. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Continued From Above... A thin fibrous membrane surrounds the lobules to hold the gland together and give a firm structure to the gland. A Cowper’s gland, or bulbourethral gland, is one of two pea-sized organs found at the base of the penis that produce secretions necessary for fertile sexual activity.Together with the prostate and seminal vesicles, these glands make a mucus-like substance that goes into semen and also acts as a lubricant during sex. Cowper duct syringocele refers to cystic dilatation of the main duct of the bulbourethral (Cowper) glands. ADVERTISEMENT: Supporters see fewer/no ads, Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. 7. Herein we report a rare case of giant Cowper’s gland syringocele in an adult male patient, with description of MRI findings and management outcome. Cowper’s glands is an accessory sexual organ that contributes to the urethral lubrification during the ejaculation. Check for errors and try again. Selli C, Nesi G, Pellegrini G, Bartoletti R, Travaglini F, Rizzo M. Cowper's gland duct cyst in an adult male. Maizels M, Stephens FD, King LR, Firlit CF. 2007 Feb;14(2):156-60. doi: 10.1111/j.1442-2042.2007.01617.x. Additionally, some men have a rare condition called Cowper's syringocele, in which the duct of a Cowper's gland becomes swollen.