A Case of Giant Cowper's Gland Syringocele in an Adult Male Patient

Santosh Surana 1, Mohamed Elshazly 2, Adel Allam 2, Sateesh Jayappa 1, Deena AlRefai 1

Affiliations

01 January 2015

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doi: 10.1155/2015/682042

Abstract

Cowper's gland syringocele is an uncommon, underdiagnosed cystic dilatation of Cowper's gland ducts showing various radiological patterns. 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.

Figures

Figure 1 VCUG showing a small rounded cystic outpouching from the ventral aspect of the proximal bulbar urethra-Cowper's gland syringocele.

Figure 1 VCUG showing a small rounded cystic outpouching from the ventral aspect of the proximal bulbar urethra-Cowper's gland syringocele.

Figure 2 Coronal (a) and sagittal (b) T2-Fatsat images reveal hyperintense, multiloculated, tortuous, tubular, septated cystic structures encircling the compressed proximal bulbar urethra-giant sized Cowper's gland syringocele.

Figure 2 Coronal (a) and sagittal (b) T2-Fatsat images reveal hyperintense, multiloculated, tortuous, tubular, septated cystic structures encircling the compressed proximal bulbar urethra-giant sized Cowper's gland syringocele.

Figure 3 Coronal pre- (a) and post- (b) contrast T1WI images showing thick enhancing wall and septations of the cystic structures—infected giant sized Cowper's syringocele.

Figure 3 Coronal pre- (a) and post- (b) contrast T1WI images showing thick enhancing wall and septations of the cystic structures—infected giant sized Cowper's syringocele.

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References

  1.  
    1. Shuysky Y. Cowper's syringocele as cause of low urinary tract symptoms in a young man. Ugeskrift for Laeger. 2014;176(36) - PubMed
  2.  
    1. Kumar J., Kumar A., Babu N., Gautam G., Seth A. Cowper's syringocele in an adult. Abdominal Imaging. 2007;32(3):428–430. doi: 10.1007/s00261-006-9032-0. - DOI - PubMed
  3.  
    1. Masuda N., Mishina M., Kitamura Y., et al. A case report of Cowper's syringocele in an adult treated with transurethral unroofing. Hinyokika Kiyo. 2012;58(7):355–359. - PubMed
  4.  
    1. Massion J. C., Shhler A., Garbay B. Cowper's canals and glands. Patlogcal manifestations and radiologic aspects. Journal d'Urologie et de Nephrologie (Paris) 1979;85:497–511. - PubMed
  5.  
    1. Moormann J. G. Diseases of the bulbourethral gland (Cowper) in men. Der Urologe A. 1998;37(4):401–409. doi: 10.1007/s001200050198. (Ger). - DOI - PubMed
  6.  
    1. Bevers R. F. M., Abbekerk E. M., Boon T. A. Cowper's syringocele: symptoms, classification and treatment of an unappreciated problem. Journal of Urology. 2000;163(3):782–784. doi: 10.1016/s0022-5347(05)67803-2. - DOI - PubMed
  7.  
    1. Watson R. A., Lassoff M. A., Sawczuk I. S., Thame C. Syringocele of cowper's gland duct: an increasingly common rarity. Journal of Urology. 2007;178(1):p. 285. doi: 10.1016/j.juro.2007.03.155. - DOI - PubMed
  8.  
    1. Maizels M., Stephens F. D., King L. R., Firlit C. F. Cowper's syringocele: a classification of Cowper's gland duct based upon clinical characteristics of 8 boys. The Journal of Urology. 1983;129:111–114. - PubMed
  9.  
    1. Melquist J., Sharma V., Sciullo D., McCaffrey H., Khan S. A. Current diagnosis and management of syringocele: a review. International Braz J Urol. 2010;36(1):3–9. doi: 10.1590/s1677-55382010000100002. - DOI - PubMed
  10.  
    1. Kickuth R., Laufer U., Pannek J., Kirchner T. H., Herbe E., Kirchner J. Cowper's syringocele: diagnosis based on MRI findings. Pediatric Radiology. 2002;32(1):56–58. doi: 10.1007/s00247-001-0580-8. - DOI - PubMed
  11.  
    1. Selli C., Nesi G., Pellegrini G., Bartoletti R., Travaglini F., Rizzo M. Cowper's gland duct cyst in an adult male: radiological and clinical aspects. Scandinavian Journal of Urology and Nephrology. 1997;31(3):313–315. doi: 10.3109/00365599709070358. - DOI - PubMed
  12.  
    1. Redman J. F., Rountree G. A. Pronounced dilatation of Cowper's gland duct manifest as a perineal mass: a recommendation for management. The Journal of Urology. 1988;139(1):87–88. - PubMed

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