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Cowper's syringocele: an analysis of 15 consecutive cases
P Campobasso1, E Schieven, E C Fernandes
1Division of Paediatric Surgery, San Bortolo Hospital, Vicenza, Italy.
Insights
Cowper
Area of Science:
- Pediatric Urology
- Urogenital Diseases
Background:
- Cowper's syringocele, a cystic dilatation of Cowper's gland ducts, is a rare pediatric condition.
- Often asymptomatic, it can manifest with urinary tract infections, hematuria, dysuria, and voiding difficulties.
Purpose of the Study:
- To report on a series of pediatric patients diagnosed with Cowper's syringocele.
- To evaluate the clinical significance and management outcomes of this condition.
Main Methods:
- Retrospective review of fifteen consecutive pediatric patients with Cowper's syringocele.
- Clinical assessment, radiological imaging, endoscopic evaluation, and urodynamic studies were utilized.
Main Results:
- Four patients with obstructive syringocele underwent successful surgical treatment.
- The majority of patients achieved successful conservative management outcomes.
- Cowper's syringocele can lead to significant urethral obstruction.
Conclusions:
- Conservative management is effective for most pediatric Cowper's syringocele cases.
- Thorough clinical and diagnostic evaluation is crucial to guide appropriate treatment and avoid unnecessary interventions.
Abstract:
Cystic dilatation of Cowper's gland ducts (Cowper's syringocele) is uncommon in children and is frequently asymptomatic, but it may cause urinary infection, haematuria, dysuria, and obstructive voiding symptoms. Fifteen consecutive children with syringocele aged 15 days to 15 years old are reported here. Only four patients with obstructive syringocele were successfully treated surgically; all the others were successfully treated conservatively. The true clinical significance of Cowper's syringocele lies in its potential to cause urethral obstruction. Careful clinical, radiological, endoscopic, and urodynamic evaluation is necessary in order to avoid unnecessary surgery.