Anterior urethral valves and diverticula in children: a result of ruptured Cowper's duct cyst?

Abstract:

OBJECTIVE:To review a series of children with anterior urethral valves and diverticula, to elucidate the pathophysiology and optimal management of this entity. PATIENTS AND METHODS:Nine cases (all boys; 1963 to 2003) were reviewed retrospectively. RESULTS:Seven of nine boys had bulbar diverticula. Continuity between Cowper's duct and the diverticulum was noted endoscopically in two and confirmed radiographically in one. Initially, open surgery was curative but more recently endoscopic management has been the procedure of choice. CONCLUSION:This series indicates that the distal lip of a ruptured syringocele may function as a flap-valve, leading to anterior urethral obstruction. Advances in imaging and endoscopic instruments have altered the mode of presentation and management of this entity.

journal_name

BJU Int

journal_title

BJU international

authors

McLellan DL,Gaston MV,Diamond DA,Lebowitz RL,Mandell J,Atala A,Bauer SB

doi

10.1111/j.1464-410X.2004.04854.x

keywords:

subject

Has Abstract

pub_date

2004-08-01 00:00:00

pages

375-8

issue

3

eissn

1464-4096

issn

1464-410X

pii

BJU4854

journal_volume

94

pub_type

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