Cowper’s syringocele (bulbourethral cyst)

Abstract

Bulbourethral cyst or Cowper’s syringocele (from the Greek “syringe” – tube, “cele” – expansion) is a cystic expansion of the excretory ducts of the bulbourethral glands (Cowper’s glands). This disease is extremely rare and is more often diagnosed in the child population. The clinical manifestations of syringocele are non-specific and depend on many factors: size, localization, communication with the urethra, and the presence of an infectious component. Detection of syringocele is impossible without the use of special radiation and endoscopic diagnostic methods. Most often, this pathology is “masked” under inflammatory diseases of the genitals due to the fact that the symptoms are limited to secretions from the external opening of the urethra, changes in the general analysis of urine and dysuric manifestations. Currently in the domestic and foreign literature there are not even 20 publications devoted to this pathology.

Keywords

bulbourethral cyst / bulbourethral glands / Cowper’s glands / syringocele

References

[1] Cowper W. An Account of Two Glands and Their Excretory Ducts Lately Discover’d in Human Bodies. The Royal Society. 1699;364–369.

[2] Cowper W. An Account of Two Glands and Their Excretory Ducts Lately Discover’d in Human Bodies//The Royal Society. 1699. P. 364–369.

[3] Gajvoronskij IV. Normal’naja anatomija cheloveka. 7 edition. Saint Petersburg, SpecLit; 2011. 423 p. (In Russ.)

[4] Гайворонский И.В. Нормальная анатомия человека. 7-е изд. СПб.: СпецЛит, 2011. С. 423.

[5] Wein A, Kavoussi L, Partin A, Peters C. Campbell-Walsh Urology. 11 ed. Elsevier; 2015. 4186 p.

[6] Wein A., Kavoussi L., Partin A., Peters C. Campbell-Walsh Urology.11 ed. Elsevier, 2015. 4186 p.

[7] Maizels M, Stephens FD, King LR, Firlit CF. Cowper’s syringocele: a classification of dilatations of Cowper’s gland duct based upon clinical characteristics of 8 boys. J Urol. 1983;129(1):111–114. DOI: 10.1016/s0022-5347(17)51946-1

[8] Maizels M., Stephens F.D., King L.R., Firlit C.F. Cowper’s syringocele: a classification of dilatations of Cowper’s gland duct based upon clinical characteristics of 8 boys//J Urol. 1983. Vol. 129, No. 1. P. 111–114. DOI: 10.1016/s0022-5347(17)51946-1

[9] Bevers RF, Abbekerk EM, Boon TA. Cowper’s syringocele: symptoms, classification and treatment of an unappreciated problem. J Urol. 2000;163(3):782–784. DOI: 10.1016/s0022-5347(05)67803-2

[10] Bevers R.F., Abbekerk E.M., Boon T.A. Cowper’s syringocele: symptoms, classification and treatment of an unappreciated problem//J Urol. 2000. Vol. 163, No. 3. P. 782–784. DOI: 10.1016/s0022-5347(05)67803-2

[11] Melquist J, Sharma V, Sciullo D, et al. Current diagnosis and management of syringocele: a review. Int Braz J Urol. 2010;36(1):3–9. DOI: 10.1590/s1677-55382010000100002

[12] Melquist J., Sharma V., Sciullo D., et al. Current diagnosis and management of syringocele: a review//Int Braz J Urol. 2010. Vol. 36, No. 1. P. 3–9. DOI: 10.1590/s1677-55382010000100002

[13] Campobasso P, Schieven E, Fernandes EC. Cowper’s syringocele: an analysis of 15 consecutive cases. Arch Dis Child. 1996;75(1):71–73. DOI: 10.1136/adc.75.1.71

[14] Campobasso P., Schieven E., Fernandes E.C. Cowper’s syringocele: an analysis of 15 consecutive cases//Arch Dis Child. 1996. Vol. 75, No. 1. P. 71–73. DOI: 10.1136/adc.75.1.71

[15] Blasl F, Rösch WH, Koen M, et al. Cowper’s syringocele: A rare differential diagnosis of infravesical obstruction in boys and young adults. J Pediatr Urol. 2017;13(1):52.e1–52.e5. DOI: 10.1016/j.jpurol.2016.08.023

[16] Blasl F., Rösch W.H., Koen M., et al. Cowper’s syringocele: A rare differential diagnosis of infravesical obstruction in boys and young adults//J Pediatr Urol. 2017. Vol. 13, No. 1. P. 52.e1–52.e5. DOI: 10.1016/j.jpurol.2016.08.023

[17] Selli C, Nesi G, Pellegrini G, et al. Cowper’s gland duct cyst in an adult male. Radiological and clinical aspects. Scand J Urol Nephrol. 1997;31(3):313–315. DOI: 10.3109/00365599709070358

[18] Selli C., Nesi G., Pellegrini G, et al. Cowper’s gland duct cyst in an adult male. Radiological and clinical aspects//Scand J Urol Nephrol. 1997. Vol. 31, No. 3. P. 313–315. DOI: 10.3109/00365599709070358

[19] Wu F, Park E, Udayasankar U. Cowper gland syringocele. J Urol. 2013;190(2):713–714. DOI: 10.1016/j.juro.2013.04.079

[20] Wu F., Park E., Udayasankar U. Cowper gland syringocele//J Urol. 2013. Vol. 190, No. 2. P. 713–714. DOI: 10.1016/j.juro.2013.04.079

[21] Masson JC, Suhler A, Garbay B. Cowper’s canals and glands. Pathological manifestations and radiologic aspects. J Urol Nephrol (Paris). 1979;85(7–8):497–511.

[22] Masson JC, Suhler A, Garbay B. Les canaux et glandes de Cowper. Manifestations pathologiques et aspects radiologiques//J Urol Nephrol (Paris). 1979. Vol. 85, No. 7–8. P. 497–511.

[23] Awad MA, Alwaal A, Harris CR, et al. Transurethral Unroofing of a Symptomatic Imperforate Cowper’s Syringocele in an Adult Male. Case Rep Urol. 2016;2016:3743607. DOI: 10.1155/2016/3743607

[24] Awad M.A., Alwaal A., Harris C.R., et al. Transurethral Unroofing of a Symptomatic Imperforate Cowper’s Syringocele in an Adult Male//Case Rep Urol. 2016. Vol. 2016. P. 3743607. DOI: 10.1155/2016/3743607

[25] Piedrahita YK, Palmer JS. Case report: Cowper’s syringocele treated with Holmium: YAG laser. J Endourol. 2006;20(9):677–678. DOI: 10.1089/end.2006.20.677

[26] Piedrahita Y.K., Palmer J.S. Case report: Cowper’s syringocele treated with Holmium: YAG laser//J Endourol. 2006. Vol. 20, No. 9. P. 677–678. DOI: 10.1089/end.2006.20.677

[27] Santin BJ, Pewitt EB. Cowper’s duct ligation for treatment of dysuria associated with Cowper’s syringocele treated previously with transurethral unroofing. Urology. 2009;73(3):681.e11–13. DOI: 10.1016/j.urology.2008.03.020

[28] Santin B.J., Pewitt E.B. Cowper’s duct ligation for treatment of dysuria associated with Cowper’s syringocele treated previously with transurethral unroofing//Urology. 2009. Vol. 73, No. 3. P. 681.e11–13. DOI: 10.1016/j.urology.2008.03.020

[29] Redman JF, Rountree GA. Pronounced dilatation of Cowper’s gland duct manifest as a perineal mass: a recommendation for management. J Urol. 1988;139(1):87–88. DOI: 10.1016/s0022-5347(17)42301-9

[30] Redman J.F., Rountree G.A. Pronounced dilatation of Cowper’s gland duct manifest as a perineal mass: a recommendation for management//J Urol. 1988. Vol. 139, No. 1. P. 87–88. DOI: 10.1016/s0022-5347(17)42301-9

[31] Cerqueira M, Xambre L, Silva V, et al. Imperforate syringocele of the Cowper’s glands laparoscopic treatment. Actas Urol Esp. 2004;28(7):535–538. DOI: 10.1016/s0210-4806(04)73125-3

[32] Cerqueira M., Xambre L., Silva V., et al. Siringocele imperforado de las glándulas de Cowper. Tratamiento por vía laparoscópica//Actas Urol Esp. 2004. Vol. 28, No. 7. P. 535–538. DOI: 10.1016/s0210-4806(04)73125-3

[33] Yamada T, Nakane K, Kanimoto Y. Successful treatment by transperineal percutaneous sclerosis with minocycline hydrochloride for imperforate Cowper’s syringocele in a young man. Int J Urol. 2009;16(9):771. DOI: 10.1111/j.1442-2042.2009.02362.x.

[34] Yamada T., Nakane K., Kanimoto Y. Successful treatment by transperineal percutaneous sclerosis with minocycline hydrochloride for imperforate Cowper’s syringocele in a young man//Int J Urol. 2009. Vol. 16, No. 9. P. 771. DOI: 10.1111/j.1442-2042.2009.02362.x.

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