[Imperforate syringocele of the Cowper's glands laparoscopic treatment].

Abstract:

OBJECTIVES:The authors present a clinical report of an imperforate syringocele diagnosed on a male patient and treated by laparoscopic surgery. MATERIAL AND METHODS:A forty-four year old patient attends the emergency room with acute urinary retention. With a former history of mild obstructive voiding symptoms, he presented, at rectal examination, a bump on the left rectal wall. This patient also underwent urethrocistoscopy, sonography and retrograde urethrography. To establish the diagnose, Computerized Tomography (CT) scan and MRI were used. RESULTS:The syringocele marsupialization by laparoscopic surgery, allowed the resolution of the clinical problem, with a good outcome. The patient was discharged 48 hours after surgery, with no need of a vesical catheter. A six month follow-up showed no recurrence. CONCLUSIONS:The syringocele is a rare deformity which usually is asymptomatic. Of acquired or congenital etiology, it can be classified in four different morphological types: simple, perforate, imperforate and ruptured. The most frequent treatment is the marsupialization of the syringocele by endoscopic surgery, leaving a broad opening of the cavity to the urethra. Some authors recommend an open surgery excision, specially in the presence of an abscess. The laparoscopic approach becomes a minimally invasive alternative with good therapeutically outcome. In the incidentally discovered asymptomatic patients, an expectant approach is the correct approach.

journal_name

Actas Urol Esp

authors

Cerqueira M,Xambre L,Silva V,Prisco R,Santo R,Lages R,Almeida M,Petracchi P,Carreira F

doi

10.1016/s0210-4806(04)73125-3

subject

Has Abstract

pub_date

2004-07-01 00:00:00

pages

535-8

issue

7

eissn

0210-4806

issn

1699-7980

pii

S0210-4806(04)73125-3

journal_volume

28

pub_type

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