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Large, infected Cowper’s syringoceles: a rare cause of perineal sepsis in adult men

Urologists and general surgeons alike are familiar with assessing acute perineal pathology. A Cowper’s gland syringocele is a rare cystic dilatation of the male bulbourethral gland, typically seen in children. We report the diagnosis and emergency management of two adult cases of large, infected Cow...

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Autores principales: Adasonla, Kelvin, Pathak, Sandeep, Li, Chi-Ying
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9731618/
https://www.ncbi.nlm.nih.gov/pubmed/36518654
http://dx.doi.org/10.1093/jscr/rjac568
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author Adasonla, Kelvin
Pathak, Sandeep
Li, Chi-Ying
author_facet Adasonla, Kelvin
Pathak, Sandeep
Li, Chi-Ying
author_sort Adasonla, Kelvin
collection PubMed
description Urologists and general surgeons alike are familiar with assessing acute perineal pathology. A Cowper’s gland syringocele is a rare cystic dilatation of the male bulbourethral gland, typically seen in children. We report the diagnosis and emergency management of two adult cases of large, infected Cowper’s gland syringoceles. A comorbid 76-year old was diagnosed with sepsis and penile swelling, but there was no discrete superficial pathology. Magnetic resonance imaging (MRI) revealed a perineal collection communicating with the membranous urethra. A suprapubic catheter was inserted, and aspiration was attempted. Meanwhile, a 55-year-old diabetic presented with severe perineal pain. MRI revealed a deep perineal collection, involving the scrotum and proximal penis. He improved with antibiotics and aspiration of the collection. This rare diagnosis may be more common in older men than previously thought. Pelvic MRI is a key diagnostic tool. A minimally invasive approach is possible in those with considerable perioperative risk.
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spelling pubmed-97316182022-12-13 Large, infected Cowper’s syringoceles: a rare cause of perineal sepsis in adult men Adasonla, Kelvin Pathak, Sandeep Li, Chi-Ying J Surg Case Rep Case Series Urologists and general surgeons alike are familiar with assessing acute perineal pathology. A Cowper’s gland syringocele is a rare cystic dilatation of the male bulbourethral gland, typically seen in children. We report the diagnosis and emergency management of two adult cases of large, infected Cowper’s gland syringoceles. A comorbid 76-year old was diagnosed with sepsis and penile swelling, but there was no discrete superficial pathology. Magnetic resonance imaging (MRI) revealed a perineal collection communicating with the membranous urethra. A suprapubic catheter was inserted, and aspiration was attempted. Meanwhile, a 55-year-old diabetic presented with severe perineal pain. MRI revealed a deep perineal collection, involving the scrotum and proximal penis. He improved with antibiotics and aspiration of the collection. This rare diagnosis may be more common in older men than previously thought. Pelvic MRI is a key diagnostic tool. A minimally invasive approach is possible in those with considerable perioperative risk. Oxford University Press 2022-12-07 /pmc/articles/PMC9731618/ /pubmed/36518654 http://dx.doi.org/10.1093/jscr/rjac568 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2022. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Series
Adasonla, Kelvin
Pathak, Sandeep
Li, Chi-Ying
Large, infected Cowper’s syringoceles: a rare cause of perineal sepsis in adult men
title Large, infected Cowper’s syringoceles: a rare cause of perineal sepsis in adult men
title_full Large, infected Cowper’s syringoceles: a rare cause of perineal sepsis in adult men
title_fullStr Large, infected Cowper’s syringoceles: a rare cause of perineal sepsis in adult men
title_full_unstemmed Large, infected Cowper’s syringoceles: a rare cause of perineal sepsis in adult men
title_short Large, infected Cowper’s syringoceles: a rare cause of perineal sepsis in adult men
title_sort large, infected cowper’s syringoceles: a rare cause of perineal sepsis in adult men
topic Case Series
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9731618/
https://www.ncbi.nlm.nih.gov/pubmed/36518654
http://dx.doi.org/10.1093/jscr/rjac568
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