Urethral syringocele: a rare cause of recurrent urinary tract infections.
Robert James Grogan, Nkwam Michael Nkwam, David Dryhurst et al.
✦ AI-curated · Sources linked
Case in brief
A man in his early 30s presented with dysuria, urinary frequency, urethral discharge, and cloudy urine for three weeks, unresponsive to antibiotics. He developed a tender perineal swelling. Flexible cystoscopy revealed a cystic bulge distal to the external urethral sphincter, and pelvic MRI confirmed a syringocele measuring 3.5×2.1×1.9 cm. Endoscopic laser deroofing was performed, leading to successful resolution of symptoms and imaging findings.
What made this case unusual
Syringocele is a rare condition in young males, making this case noteworthy for its atypical presentation as a cause of recurrent urinary tract infections.
Diagnostic / clinical pearl
Clinicians should consider syringocele in young male patients presenting with recurrent urinary tract infections or obstructive urinary symptoms.
Why it matters
Recognizing syringocele can prevent misdiagnosis and inappropriate treatment in patients with recurrent urinary issues.