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Syringocele of the Cowper's gland: Report of two cases in the childhood (87 visite)

Tanga M, Manchia A, Dolezalova H, Imbriaco M, Sodano A

Eur J Radiol Extra, 2004; 49(3): 111-113.



Tipo di articolo: Journal Article,

Impact factor: 2.16, Impact factor a 5 anni: 2.304

Url: http://www.scopus.com/inward/record.url?eid=2-s2.0-23844539657&partnerID=40&md5=4ab943f6cff07114dc061529085bdf3f

Parole chiave: Children, Cowper, S Glands, Syringocele, Urethra,

Affiliazioni:

*** IBB - CNR ***
Department of Radiology, University Federico II, Napoli, Italy
I.B.B. - Institute of Biostructures and Bioimaging, University Federico II, Via Manzoni 214/0, Parco Flory, Napoli 80123, Italy



Riferimenti:

Gearhart, J.P., Rink, R.C., Mouriquand, P.D.E., (2001) Pediatric Urology, pp. 614-615. , W.B. Sanders Company. London: A Harcourt Health Sciences Compan

Dewan, P.A., A study of the relationships between syringoceles and Cobb's collar (1996) Eur Urol, 30, pp. 119-124

Richter, S., Shalev, M., Nissenkorn, I., Late appearance of Cowper's syringocele (1998) J Urol, 160, pp. 128-129

Brock, W.A., Kaplan, G.W., Lesions of Cowper's glands in children (1979) J Urol, 122, pp. 121-123

Maizels, M., Stephens, F.D., King, L.R., Firlit, C.F., Cowper's syringocele: A classification of dilatation of Cowper's gland duct based upon clinical characteristics of 8 boys (1983) J Urol, 129, pp. 111-114

Bevers, R.F.M., Abbekerk, E.M., Boon, T.A., Cowper's syringocele: Symptoms (2000) J Urol, 163, pp. 782-784

Campobasso, P., Schieven, E., Sica, F., Cowper's syringocele in children: Report on ten cases (1995) Minerva Pediatr, 47, pp. 297-302

Currarino, G., Fuqua, F., Cowper's glands in the urethrogram (1972) AJR, 116, pp. 838-842

Pavlica, P., Viglietta, G., Busato, F., Losinno, F., Veneziano, S., Syringocele or cystic diagnosis of Cowper's gland ducts (1988) Radiol Med, 75, pp. 70-74

Kickuth, R., Laufer, U., Pannek, J., Kirchner, T.H., Herbe, E., Kirchner, J., Cowper's syringocele: Diagnosis based on MRI findings (2002) Ped Rad, 32, pp. 56-58

Morey, A.F., McAninch, J.W., Ultrasound evaluation of the male urethra for assessment of urethral structure (1996) J Clin Ultrasound, 24, pp. 473-479

Kirks, D.R., Grossman, H., Congenital saccular anterior urethral diverticulum (1981) Radiology, 140, pp. 367-372



Syringocele is an uncommon abnormality of the male urethra, that consists of a cystic dilation of the main duct of Cowper's bulbourethral gland showing various radiographic patterns. This rare entity is frequently asymptomatic and uncommon in children and may cause dysuria, pollakiuria, stranguria, urinary infections, haematuria and obstructive voiding symptoms. There are four morphological types: simple, perforated, imperforate and ruptured. The diagnosis is usually made by voiding cystourethrography and confirmed with urethrocystoscopy. Transperineal ultrasound and MR may be also utilized for the final diagnosis. The clinical significance of Cowper's syringocele lies in its potential to cause urethral obstruction. Careful clinical, radiological, endoscopic, and urodynamic evaluation is therefore mandatory in order to avoid unnecessary surgery. We hereby describe two patients with syringocele; the first case is a simple syringocele with only minimal dilation of the distal portion of Cowper's gland and evidence of reflux from the urethra into the duct; the second case is a ruptured syringocele with evidence of a cystic dilation of the duct of Cowper's bulbourethral glands with regular margins and urethral compression; both patients were treated with transurethral marsupialization and had an uneventful postoperative course and are completely symptoms-free 2 years after the initial diagnosis. Cowper's syringocele may be more common than currently realized. Radiologists should be aware of this rare entity and rule out this possibility in young male patients with lower urinary tract symptoms and persistent post-void dribbling as it can be easily treated. © 2003 Elsevier Ireland Ltd. All rights reserved.
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23 Records (20 escludendo Abstract e Conferenze).
Impact factor totale: 60.639 (56.108 escludendo Abstract e Conferenze).
Impact factor a 5 anni totale: 63.344 (59.08 escludendo Abstract e Conferenze).







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