Syringocele:a retrospective study and review of the literature
| Autor: | Yazan F. Rawashdeh, Hans Jørgen Kirkeby, Frederikke Eichner Sørensen, Martin Skott |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Urology medicine.medical_treatment 030232 urology & nephrology Syringocele 030204 cardiovascular system & hematology Urethral Diseases/diagnosis 03 medical and health sciences Young Adult 0302 clinical medicine bulbourethral glands children male urethral abnormalities Urethral Diseases medicine Bulbourethral Glands/pathology Humans In patient human Young adult Child Retrospective Studies medicine.diagnostic_test business.industry adult Infant Magnetic resonance imaging Retrospective cohort study Middle Aged Marsupialization Surgery First line treatment Nephrology Transrectal ultrasonography Bulbourethral Glands business Dilatation Pathologic |
| Zdroj: | Sørensen, F E, Skott, M, Rawashdeh, Y F & Kirkeby, H J 2019, ' Syringocele : a retrospective study and review of the literature ', Scandinavian Journal of Urology, vol. 53, no. 5, pp. 269-274 . https://doi.org/10.1080/21681805.2019.1649719 |
| DOI: | 10.1080/21681805.2019.1649719 |
| Popis: | Background: A syringocele is a cystic dilation of the ducts from the bulbourethral glands located in the bulbous part of the male urethra. It is a rare condition primarily reported in children and young adults. The objective was to evaluate the diagnostic pattern and management strategy in patients of all ages diagnosed with syringocele. Methods: A retrospective review of patients with syringocele in the period 2004–2018 was performed. Age at diagnosis, primary symptoms, the diagnostic modalities used, treatments and effects were registered. Results: In the period, 19 patients with syringoceles were identified, eight children and 11 adults. The majority of the patients presented with obstructive voiding symptoms. All patients underwent cystourethroscopy. Supplementary diagnostics as voiding cystourethrography, retrograde urethrography, uroflowmetry, magnetic resonance imaging or transrectal ultrasonography were used inconsistently. Sixteen of the patients underwent marsupialization, one child underwent open excision and two patients were managed conservatively. Three of the children were re-operated on with endoscopic marsupialization. One of the adult patients did not respond to marsupialization and was treated with and vesico-appendico-cutaneostomy. Discussion: A review of the case reports published in the period 1996–2018 was performed and compared to these results. This review found 77 cases, 50 children and 27 adults. The reported symptoms, diagnostics and treatments were in line with the findings of this study. Conclusions: Based on these findings and the literature it is recommended that syringoceles should be diagnosed by cystourethroscopy and urethrography. Patients with symptomatic syringoceles should be offered treatment. First line treatment is endoscopic marsupialization. |
| Databáze: | OpenAIRE |
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