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Article ; Online: Current diagnosis and management of syringocele: a review.

Melquist, Jonathan / Sharma, Vidit / Sciullo, Daniella / McCaffrey, Heather / Khan, S Ali

International braz j urol : official journal of the Brazilian Society of Urology

2010  Volume 36, Issue 1, Page(s) 3–9

Abstract: Cowper's syringocele is a rare but an under-diagnosed cystic dilation of the Cowper's ducts and is increasingly being recognized in the adult population. Recent literature suggests that syringoceles be classified based on the configuration of the duct's ... ...

Abstract Cowper's syringocele is a rare but an under-diagnosed cystic dilation of the Cowper's ducts and is increasingly being recognized in the adult population. Recent literature suggests that syringoceles be classified based on the configuration of the duct's orifice to the urethra, either open or closed, as this also allows the clinical presentations of 2 syringoceles to be divided, albeit with some overlap. Usually post-void dribbling, hematuria, or urethral discharge indicates open syringocele, while obstructive symptoms are associated with closed syringoceles. As these symptoms are shared by many serious conditions, a working differential diagnosis is critical. Ultrasonography coupled with retro and ante grade urethrography usually suffices to diagnose syringocele, but supplementary procedures - such as cystourethroscopy, computed tomography scan, and magnetic resonance imaging - can prove useful. Conservative observation is first recommended, but persistent symptoms are usually treated with endoscopic marsupialization unless contraindicated. Upon reviewing the literature, this paper addresses the clinical anatomy, classification, presentation, diagnosis, and treatment of syringoceles in further detail.
MeSH term(s) Adult ; Bulbourethral Glands ; Child ; Cysts/diagnosis ; Cysts/therapy ; Dilatation, Pathologic/classification ; Dilatation, Pathologic/diagnosis ; Dilatation, Pathologic/therapy ; Genital Diseases, Male/diagnosis ; Genital Diseases, Male/therapy ; Humans ; Male
Language English
Publishing date 2010-03-03
Publishing country Brazil
Document type Journal Article ; Review
ZDB-ID 2206649-4
ISSN 1677-6119 ; 1677-5538
ISSN (online) 1677-6119
ISSN 1677-5538
DOI 10.1590/s1677-55382010000100002
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