摘要
Dear editor,The term“syringocele”originated from Greek words“syringo”meaning tube and“cele”meaning swelling and was first coined by Maizels et al.[1]in 1983 to represent a spectrum of dilatation of the normal Cowper’s gland duct.They classified syringocele into four morphological types:Simple,perforate,imperforate,and ruptured.Melquist et al.[2]simplified the classification by dividing syringocele into two groups:Closed and open syringocele.Usually diagnosed in the pediatric population,only 10 cases of adult syringocele were reported in literature till 2007[3].Endoscopic management is preferred in most symptomatic adolescent patients and various energy sources employed for endoscopic marsupialization include cold knife urethrotomy,electrocautery,or holmium laser[4,5].Use of holmium laser is reported only in three cases with maximum follow-up of up to 1 year[6e8].We herein report three additional cases of adolescent closed syringocele,provide detailed technique of laser marsupialization,and report its long-term postoperative outcome.The study was approved by the University of Miami Ethics Committee(study ID:20180511).
