Retention Cysts of Cowper's Duct

Abstract
Retention cysts arising from obstructed Cowper''s ducts are rare lesions of the anterior urethra. Five cases are reported, 3 in male infants and 2 in young boys. In children and adults the cysts may cause dysuria, urinary frequency or urinary retention. The etiology of Cowper''s duct cysts remains uncertain, but both congenital and acquired cysts are described. The radiographic findings are characteristic: a smooth, rounded filling defect is seen on the ventral wall of the proximal bulbous urethra during voiding cystourethrography. After fulguration of the cyst, urethrography may reveal reflux into a dilated Cowper''s duct.

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