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Cyst in Cowper's Gland |
From: A patient's mom (name withheld)
Date: Wednesday, June 28, 2022 4:14 PM
Subject: Cowper's cyst |
My son has just been diagnosed with a cyst on one of his Cowper's
glands.
His doctor is not sure how to treat him as he has never seen this
before.
Do you know of any treatment or of anyone who might be experienced
with
this diagnosis?
Thank you
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From: jdimitrakov@my-deja.com
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Cowper's glands lie in the DEEP PERINEAL POUCH (superior to the perineal
body) and are distinguished by their course parallel to the urethra. The
urethra at that part called membranous urethra is in the form of the
OMEGA SIGN which means that the internal sphincter muscle of the urethra
does not cover the posterior part of the urethra which is therefore
named membranous (for its predisposition to be easily injured).To
describe this, imagine a ring with a stone on it - the stone points
backwards and that is where there are no muscles around the urethra.
This is the place most frequently injured during cystoscopy and any
instrumental intervention. |
The imaging modality of choice for cysts in this space is perineal
(transrectal, coiled MRI).Alternatively, retrograde and voiding
urethrography, cavernosography can be used. |
Patients should NEVER try to drain those cysts since they run PARALLEL to
the urethra but in the opposite direction. That is my main concern with
spousal or self-drainage - those unaware of the anatomy can easily hurt
the membranous urethra trying too hard to push out the secretions. I
suggest that anyone trying to do drainage should be educated how to do
it first.
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Rupture of the cysts can result in an infection of the deep perineal
space which is a very serious complication. |
Treatment of choice for Cowper gland cysts known as "syringocele" is
surgical transurethral resection of the cysts together with urethral
reconstruction.
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Best regards,
Jordan Dimitrakov, MD
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This information is forwarded to you by the Prostatitis Foundation. We do not provide medical advice. We distribute literature and information relevant to prostatitis. While we encourage all research we do not endorse any doctor, medicine or treatment protocol. Consult with your own physician. |
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