Skip to main content
Download PDF
  • Cas Clinique
  • Published:

Une syringocèle révélée par un abcès périntéal

Syringocele revealed by perineal abscess

Andrologie volume 17, pages 283–287 (2007)Cite this article

Résumé

Le terme syringocèle désigne la dilatation kystique des canaux des glandes de Cowper. Nous rapportons le premier cas de syringocèle découverte à l’occasion d’un abcès périnéal étendu chez un homme âgé de 50 ans.

Le diagnostic a été confirmé par le scanner, l’urétrographie rétrograde et l’urétroscopie. Le traitement a consisté en un drainage chirurgical par voie périnéale associée à une dérivation urinaire et une antibiothérapie adaptée.

Le but de ce travail est de discuter les circonstances de découverte ainsi que les modalités diagnostiques et thérapeutiques de cette pathologie peu fréquente.

Abstract

Purpose

The authors present a clinical report of a perforate syringocele diagnosed in a male patient and they review the clinical, radiological and therapeutic aspects of this disease.

Case report

A 50-year-old man attended the emergency room with perineal abscess. Computerized Tomography (CT) scan was used to establish the diagnosis. This patient also underwent urethrocystoscopy, sonography and retrograde urethrography.

Results

Treatment consisted of open surgical evacuation of the perineal abscess with bladder catheter. Urethrocystoscopy showed a large perforate syringocele in the urethra with no need for endoscopy marsupialization. No recurrence was observed at follow-up at 3 months.

Conclusion

Syringocele is a rare malformation which usually is asymptomatic. It can be congenital or acquired and can be classified into four morphological types. The most frequent treatment is endoscopic marsupialization of the syringocèle. Open surgical excision is recommended for complicated syringocèle with abscess or perineal pain.

Références

  1. BRANDES S.B., R.E: Cowper’s syringocele: symptoms, classification and treatment of an unappreciated problem. J. Urol., 2000, 164: 1666–1668.

    Article  PubMed  CAS  Google Scholar 

  2. BROCK W.A., KAPLAN G.W.: Lesions of Cowper’s glands in children. J. Urol., 1979, 122: 121–123.

    PubMed  CAS  Google Scholar 

  3. CADY J., KRON B.: Anatomie du corps humain. Paris, Maloine, 1970, fasc. 5: 108.

    Google Scholar 

  4. CAMPOBASSO P., SCHIEVEN E., FERNANDES E.C.: Cowper’s synringocele: an analysis of 15 consecutive cases. Arch. Dis. Child., 1996, 75: 71–73.

    Article  PubMed  CAS  Google Scholar 

  5. COLODNY A.H., LEBOWITZ R.L.: Lesions of Cowper’s ducts and glands in infants and children. Urology, 1978, 11: 321–325.

    Article  PubMed  CAS  Google Scholar 

  6. GHADOUANE M., ALAMI M., KASMAOUI E.H., OUHBI Y., SAFI L.: Abbar M.: Syringocèle: à propos de 2 cas. Prog. Urol., 2001, 11: 354–356.

    PubMed  CAS  Google Scholar 

  7. KICKUTH R., LAUFER U., PANNEK J., KIRCHNER T.H., HERBE E., KIRCHNER J.: Cowper’s syringocele: diagnosis based on MRI findings. Pediatr. Radiol., 2002, 32: 56–58.

    Article  PubMed  Google Scholar 

  8. LEBOWITZ R.L.: Letter to the editor «Cowper’s gland duct: radiologic finding». Urol. Radiol., 1992, 13: 200.

    Article  PubMed  CAS  Google Scholar 

  9. MAIZELS M., STEPHENS F., KING L.R., FIRLIT C.F.: Cowper’s synringocele: a classification of dilatation of Cowper’s gland duct based upon clinical characteristics of 8 boys. J. Urol., 1983, 129, 111–114.

    PubMed  CAS  Google Scholar 

  10. MASSON J.C., SUHLER A., GARBAY B.: Les canaux et glandes de Cowper: manifestations pathologiques et aspects radiologiques. J. Urol. Nephrol., 1979, 85: 497–511.

    CAS  Google Scholar 

  11. PEDRON P., TRAXER O., HAAB F. et al.: Glandes de Cowper: aspects anatomique, physiologique et pathologique. Prog. Urol., 1997, 7: 563–569.

    PubMed  CAS  Google Scholar 

  12. PIEDRAHITA Y.K., PALMER J.S.: Case report: Cowper’s syringocele treated with Holmium: YAG laser. J. Endourol., 2006, 20: 677–678.

    Article  PubMed  Google Scholar 

  13. REDMAN J.F., ROUNTREE G.A.: Pronounced dilatation of Cowper’s gland duct manifest as perineal mass: a recommendation for management. J. Urol., 1988, 139: 87–88.

    PubMed  CAS  Google Scholar 

  14. SALINAS SANCHEZ A.S., SEGURA MARTIN M., LORENZO ROMERO J., HERNANDEZ MILLAN I., RUIZ MONDEJAR R., VIRSEDA RODRIGUEZ J.A.: Ruptured syringocele of the Cowper’s gland. Report of a case. Actas Urol. Esp., 1998, 22: 712–715.

    Google Scholar 

  15. SHAW M.B., COLE O., TERRY T.R.: Cowper’s syringocele causing painful haematuria in an adult. Sci. World J., 2004, 7: 308–310.

    Google Scholar 

  16. ZUGOR V., SCHROTT K.M., SCHOTT G.E.: Cowper’s syringocele — a rare malformation of the male urethra. Erlangen experience in two example cases. Urol. Int., 2006, 76: 182–185.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Centre hospitalier Dr Schaffner, Lens

    Kamel Chabchoub, Hussein Kandil, Firas Zahwa & Philippe Danjou

Authors
  1. Kamel Chabchoub
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Hussein Kandil
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Firas Zahwa
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Philippe Danjou
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Kamel Chabchoub.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Chabchoub, K., Kandil, H., Zahwa, F. et al. Une syringocèle révélée par un abcès périntéal. Androl. 17, 283–287 (2007). https://doi.org/10.1007/BF03040739

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03040739

Mots clés

Key-Words

Basic and Clinical Andrology

ISSN: 2051-4190