Case report: Late clinical manifestation of a syringocele in an adult

Cystic dilatation of bulbourethral gland ducts is a rare pathology known as Cowper's syrincocele. It is normally found in children and young adults. W e report a case of late clinical manifestation of a large dilatation of Cow per's gland duct presenting as, a perineal cyst. Diagnostic procedures cons isted of ultrasonography, urethrography and urethrocystoscopy. Magnetic res onance imaging proved to be an excellent tool to demonstrate the topographi c relationship between the syringocele and the urethra and corpus spongiosu m. The syringocele was treated successfully by open perineal excision. As t he syringocele seems to be more common than previously reported, the physic ian should consider it in patients with unusual genitourinary symptoms.