{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:26:17Z","timestamp":1787009177371,"version":"build-2736575974"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2022,12,8]],"date-time":"2022-12-08T00:00:00Z","timestamp":1670457600000},"content-version":"vor","delay-in-days":7,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Urologists and general surgeons alike are familiar with assessing acute perineal pathology. A Cowper\u2019s gland syringocele is a rare cystic dilatation of the male bulbourethral gland, typically seen in children. We report the diagnosis and emergency management of two adult cases of large, infected Cowper\u2019s gland syringoceles. A comorbid 76-year old was diagnosed with sepsis and penile swelling, but there was no discrete superficial pathology. Magnetic resonance imaging (MRI) revealed a perineal collection communicating with the membranous urethra. A suprapubic catheter was inserted, and aspiration was attempted. Meanwhile, a 55-year-old diabetic presented with severe perineal pain. MRI revealed a deep perineal collection, involving the scrotum and proximal penis. He improved with antibiotics and aspiration of the collection. This rare diagnosis may be more common in older men than previously thought. Pelvic MRI is a key diagnostic tool. A minimally invasive approach is possible in those with considerable perioperative risk.<\/jats:p>","DOI":"10.1093\/jscr\/rjac568","type":"journal-article","created":{"date-parts":[[2022,12,2]],"date-time":"2022-12-02T09:37:49Z","timestamp":1669973869000},"source":"Crossref","is-referenced-by-count":2,"title":["Large, infected Cowper\u2019s syringoceles: a rare cause of perineal sepsis in adult men"],"prefix":"10.1093","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2673-4390","authenticated-orcid":false,"given":"Kelvin","family":"Adasonla","sequence":"first","affiliation":[{"name":"Whipps Cross University Hospital Department of Urology, , London E11 1NR , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandeep","family":"Pathak","sequence":"additional","affiliation":[{"name":"Whipps Cross University Hospital Department of Radiology, , London E11 1NR , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chi-Ying","family":"Li","sequence":"additional","affiliation":[{"name":"Whipps Cross University Hospital Department of Urology, , London E11 1NR , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,12,7]]},"reference":[{"key":"2022120821234838500_ref1","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1111\/j.1365-2605.2005.00499.x","article-title":"A neglected gland: a review of Cowper\u2019s gland","volume":"28","author":"Chughtai","year":"2005","journal-title":"Int J Androl"},{"key":"2022120821234838500_ref2","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1080\/21681805.2019.1649719","article-title":"Syringocele: a retrospective study and review of the literature","volume":"53","author":"S\u00f8rensen","year":"2019","journal-title":"Scand J 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and differential diagnosis","volume":"42","author":"Takahashi","year":"2022","journal-title":"Radiographics"},{"key":"2022120821234838500_ref10","doi-asserted-by":"crossref","first-page":"e3","DOI":"10.1016\/j.urology.2018.05.037","article-title":"Cowper\u2019s gland syringocele","volume":"119","author":"Sharbaugh","year":"2018","journal-title":"Urology"},{"key":"2022120821234838500_ref11","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1007\/s00261-006-9032-0","article-title":"Cowper\u2019s syringocele in an adult","volume":"32","author":"Kumar","year":"2007","journal-title":"Abdom Imaging"},{"key":"2022120821234838500_ref12","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1590\/S1677-55382010000100002","article-title":"Current diagnosis and management of syringocele: a review","volume":"36","author":"Melquist","year":"2010","journal-title":"Int Braz J Urol"},{"key":"2022120821234838500_ref13","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1016\/j.ijid.2013.09.003","article-title":"Invasive streptococcus anginosus group infection\u2014does the species predict the outcome?","volume":"18","author":"Junckerstorff","year":"2014","journal-title":"Int J Infect Dis"},{"key":"2022120821234838500_ref14","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/j.eucr.2017.09.005","article-title":"Sepsis secondary to Cowper\u2019s gland abscess","volume":"15","author":"Pietro","year":"2017","journal-title":"Urol Case Rep"},{"key":"2022120821234838500_ref15","doi-asserted-by":"crossref","DOI":"10.4081\/aiua.2019.3.196","article-title":"A complicated case of recurrent Cowper\u2019s gland abscess","volume":"91","author":"Pepe","year":"2019","journal-title":"Arch Ital Urol Androl"},{"key":"2022120821234838500_ref16","first-page":"501","article-title":"Cowper\u2019s glands abscess with spreading to adjacent organs and tissues with development of septic shock: an extremely rare case","volume":"13","author":"Kadyrov","year":"2021","journal-title":"Res Rep Urol"}],"container-title":["Journal of Surgical Case 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