%0 Journal Article
%T Siringocele imperforado de las gl¨¢ndulas de Cowper: Tratamiento por v¨ªa laparosc¨®pica
%A Cerqueira
%A M.
%A Xambre
%A L.
%A Silva
%A V.
%A Prisco
%A R.
%A Santo
%A R.
%A Lages
%A R.
%A Almeida
%A M.
%A Petracchi
%A P.
%A Carreira
%A F.
%J Actas Urol¨®gicas Espa£¿olas
%D 2004
%I Scientific Electronic Library Online
%R 10.4321/S0210-48062004000700008
%X 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.
%K cowper's glands
%K imperforate syringocele
%K laparoscopy.
%U http://scielo.isciii.es/scielo.php?script=sci_abstract&pid=S0210-48062004000700008&lng=en&nrm=iso&tlng=en