[Imperforate syringocele of the Cowper's glands laparoscopic treatment].
OBJECTIVE
The authors present a clinical report of an imperforate syringocele diagnosed on a male patient and treated by laparoscopic surgery.


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.
Cerqueira
M
M
Servicio de Urologia del Hospital Pedro Hispano, Matosinhos, Portugal.
Xambre
L
L
Silva
V
V
Prisco
R
R
Santo
R
R
Lages
R
R
Almeida
M
M
Petracchi
P
P
Carreira
F
F
D000328:Adult; D002030:Bulbourethral Glands / Q000473:pathology* / Q000601:surgery; D003560:Cysts / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D004108:Dilatation, Pathologic / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D005832:Genital Diseases, Male / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D010535:Laparoscopy; D008279:Magnetic Resonance Imaging; D008297:Male; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D016055:Urinary Retention / Q000175:diagnosis* / Q000601:surgery; D013521:Urologic Surgical Procedures, Male / Q000379:methods
Siringocele imperforado de las glándulas de Cowper. Tratamiento por vía laparoscópica.