Laparoscopic Removal of a Congenital Seminal Vesicle Cyst in Zinner's Syndrome

Jarzemski, Piotr; Listopadzki, Slawomir; Kowalski, Marek

doi:10.4293/108680813x13753907291477

Cited by 18 publications

(13 citation statements)

References 17 publications

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“…Surgical excision of a seminal vesicle cyst depends on the size and location of the cyst, and presence of clinical symptoms. Nowadays, laparoscopic and robotic techniques have replaced the open surgical approach 17 18. Removal of the seminal vesicle cysts can resolve symptoms while preserving fertility and erectile function 19.…”

Section: Discussionmentioning

confidence: 99%

Zinner syndrome: an uncommon cause of painful ejaculation

Sundar

2015

BMJ Case Reports

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Zinner syndrome refers to the triad of ipsilateral renal agenesis, seminal vesicle cysts and ejaculatory duct obstruction. Ipsilateral renal agenesis may be associated with seminal vesicle cysts in 70% of cases, but a remnant ureteral bud has been shown to coexist in only 27% of these cases. While some patients may remain asymptomatic and are discovered incidentally, others present with symptoms related to seminal vesicle cysts or ejaculatory duct obstruction: voiding or ejaculatory difficulty or pain. The diagnosis is made with imaging findings, and differentiation from other pelvic cysts requires a multimodality approach. In this report, we present typical imaging findings of a patient who presented with painful ejaculation where there was a congenital seminal vesicle cyst with ipsilateral renal agenesis associated with a remnant ureteral bud draining into the seminal vesicle cyst and also associated with a cyst of the prostatic utricle. We discuss the relevant embryological basis for this unusual combination of findings.

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Section: Discussionmentioning

confidence: 99%

Zinner syndrome: an uncommon cause of painful ejaculation

Sundar

2015

BMJ Case Reports

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“…Seminal tract obstruction may lead to obstructive azoospermia, and affected patients may experience intractable hemospermia, perineal discomfort and pain, ejaculation pain, azoospermia, or infertility [2]. In the past, the outcome of conservative treatment was poor, and open surgery, laparoscopic or even flexible vesiculovasoscopy surgery has been performed for common seminal vesicle diseases [3][4][5][6][7][8]. For seminal tract and seminal vesicle diseases in certain locations, there is no appropriate and effective treatment method [7].…”

Section: Introductionmentioning

confidence: 99%

Guiding role of seminal tract anatomical study in transurethral seminal vesiculoscopy.

Pang

Yang

Zhang

et al. 2019

Videosurgery and Other Miniinvasive Techniques

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Introduction: There have been problems with low qualification operator-related complications and failures of transurethral seminal vesiculoscopy (TSV) in China. Aim: To study the guiding role of seminal tract anatomical study (STAS) in TSV. Material and methods: We performed STAS to study the structure, morphology, duct trajectory, and anatomical relationships between the seminal vesicles and the adjacent tissue in pelvic specimens from 12 adult cadavers. Then the surgical effects and complications of 82 cases of TSV performed by 3 doctors were retrospectively studied to compare the difference between the two groups of before and after the anatomical study. Results: The anatomical studies of the 12 adult cadaveric pelvis specimens identified the lengths and widths of the right-and left-side seminal vesicles and tracts. The TSV can treat lesions located in the distal seminal tract and vesicle, but proximal lesions cannot be reached, which is an anatomical limitation of this technique. There were significant differences in the surgical times and the surgical validity rates between the 2 groups. Conclusions: Our anatomical study of the seminal tract and seminal vesicles is valuable for guiding TSV in clinical practice.

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“…Patients without clinical symptoms should not be treated and they can be monitored by transrectal US. Symptomatic seminal vesicle cysts often need mini-invasive surgical treatments such as percutaneous drainage with injection of sclerosing agents [12] , laparoscopic [13] or robotic excision [14] . Our case is original as it shows a late and sudden onset of this malformation in the 6 th decade of life, usually uncommon, without any symptom.…”

Section: Discussionmentioning

confidence: 99%

Asymptomatic Zinner's Syndrome Diagnosed during the Sixth Decade of Life: Case Report and Review of the Literature

Cerruto¹,

Alberto²,

Tafuri³

et al. 2017

J Anesth Surg

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A 61 year-old male with a history of metabolic syndrome (hypertension, obesity, dyslipidemia), left kidney agenesia, compensatory hypertrophy and previous stone disease of the contralateral kidney, was sent by his general practitioner to our department because the incidental diagnosis of left seminal vesicle cyst lesion, not documented in the previous annual ultrasound control. He was father of 2 children and did not complain any lower urinary tract symptoms (LUTS) with a satisfied sexual life. He had a previous history negative for urinary tract infections (UTIs), dysuria, hematuria, ejaculatory pain, prostatitis, epididymitis. The examination revealed a patient in good general condition with body mass index of 29.07. The abdomen was soft with no palpable mass. Digital rectal examination was a normal prostate according with age. Laboratory tests including urine culture and PSA showed no abnormality. Transabdominal ultrasound scan (US) confirmed left kidney agenesia with compensatory hypertrophy and revealed for the first time (not doc- Copyrights 97 Case ReportOpen AccessUrology Clinic, Department of Surgery, Dentistry, Paediatrics and Gynaecology, University of Verona, Italy AbstractSeminal vesicle cysts combined with genitourinary anomalies, named since 1914 Zinner's syndrome, are rare. We present a case of asymptomatic 61-year-old married man, with known left kidney agenesia and a previous ultrasound history negative for vesicle cyst since one year before. Digital rectal examination was normal. Diagnostic imaging (both ultrasound and magnetic resonance imaging) showed left seminal vesicle cyst without any intravesical protrusion. In the absence of symptoms, a conservative treatment was decided, with a strict clinical and ultrasonographic follow-up. The diagnosis of Zinner's syndrome was made later, by ultrasound and magnetic resonance imaging, with the development of multilocular seminal vesicle cystic lesion, with a rapid onset (within one year). This malformation should be considered in the differential diagnosis of a pelvic cyst in male patients with renal agenesis. So far, the patient was asymptomatic and had never presented with dysuria, signs of bladder obstruction or urinary tract infection. He had neither any perineal discomfort nor pain; he described normal ejaculation without pain, no hematospermia, and had never experimented any urinary infection or prostatitis. He also had a normal sexual activity. In this particular case, in the absence of symptoms a conservative treatment was decided, with a strict clinical and transrectal US follow-up, at least until

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Laparoscopic Removal of a Congenital Seminal Vesicle Cyst in Zinner's Syndrome

Cited by 18 publications

References 17 publications

Zinner syndrome: an uncommon cause of painful ejaculation

Zinner syndrome: an uncommon cause of painful ejaculation

Guiding role of seminal tract anatomical study in transurethral seminal vesiculoscopy.

Asymptomatic Zinner's Syndrome Diagnosed during the Sixth Decade of Life: Case Report and Review of the Literature

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