Renal Agenesis and Seminal Vesicle Cyst

Narlawar, Ranjeet; Hanchate, Vijay; Raut, A A; Hira, Priya; Nagar, Arpit; Chaubal, Nitin

doi:10.7863/jum.2003.22.2.225

Cited by 22 publications

(21 citation statements)

References 9 publications

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“…However, in the absence of associated genitourinary anomalies, seminal vesicle cysts represent an acquired disease (Van den Ouden et al, 1998;Manousakas et al, 2002). We can find 200 cases of seminal vesicle cysts associated with ipsilateral renal agenesis reported in the literature (100 until 1980 and 100 since then) (Narlawar et al, 2003;Ribeiro et al, 2004;Andrade-Rocha, 2006). There are no series except a pooled analysis of 52 cases made by Van den Ouden et al (1998) (the most cited article in all case reports) which tries to establish recommendations for the diagnosis and management of this rare abnormality.…”

Section: Discussionmentioning

confidence: 89%

“…Seminal vesicle cysts must be differentiated from other pelvic masses such as prostatic, utricular or Müllerian cysts, hydronephrotic pelvic kidney, ectopic ureterocele, pelvic abscess, benign or malign bladder, rectal or sacral neoplasia, bladder or colon diverticulum and lymph nodes (Heaney et al, 1987;Livingstone & Larsen, 2000;Fernán-dez et al, 2002;Murphy et al, 2003;Narlawar et al, 2003). Primary adenocarcinoma of the seminal vesicle, although rare (secondary tumours are more common), may occur in patients over the age of 50 years.…”

Section: Cystmentioning

confidence: 96%

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Zinner’s syndrome: an up-to-date review of the literature based on a clinical case

Pereira¹,

Sousa²,

Azinhais³

et al. 2009

Andrologia

132

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The authors made an up-to-date review of the literature concerning the management of Zinner's syndrome and evaluated a young patient with Zinner's syndrome who had presented with urinary and ejaculatory complaints. Physical examination and transrectal ultra-sonography showed a 7.0 cm right seminal vesicle cyst. Magnetic resonance imaging (MRI) confirmed the diagnosis of Zinner's syndrome. Oligoasthenoteratozoospermia was present at the two seminal analyses. Symptomatic improvement was achieved with conservative measures. Actually, the patient is still on a follow-up programme. The diagnosis is usually established at the age of increased sexual activity. Patients may be asymptomatic or present pain, irritative urinary or ejaculatory symptoms and infertility. MRI has proved to be the best imaging examination. Treatment should be adapted to symptoms, surveillance being the best option in the absence of clinical manifestations. Surgical approach may be adequate when conservative measures prove ineffective. Zinner's syndrome should be suspected if a male young patient presents with unilateral renal agenesis and pelvic complaints and has a supraprostatic mass on digital rectal examination. The initial approach should be medical, but invasive procedures may be the only way to solve the patient's complaints. Nowadays, laparoscopic and robotic techniques must replace the open surgical approach.

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Section: Discussionmentioning

confidence: 89%

Section: Cystmentioning

confidence: 96%

Zinner’s syndrome: an up-to-date review of the literature based on a clinical case

Pereira¹,

Sousa²,

Azinhais³

et al. 2009

Andrologia

132

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show abstract

“…Oligohydramnios is commonly associated with fetal urinary tract anomalies and the efficacy of ultrasound as a primary imaging tool in the diagnosis of fetal anomalies is decreased in the presence of oligohydramnios (12)(13)(14)(15). Fifty-four (0.6%) cases of suspected renal anomalies, detected during screening sonography of 8400 pregnant women (0.6%) over two years, were rescanned by MRI to refine the diagnosis of suspected renal anomalies in this study.…”

Section: Discussionmentioning

confidence: 99%

The role of magnetic resonance imaging in refining the diagnosis of suspected fetal renal anomalies

Abdelazim¹,

Belal²

2013

J Turkish German Gynecol Assoc

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Objective: This prospective study was designed to detect the role of magnetic resonance imaging (MRI) in refining the diagnosis of suspected fetal renal anomalies detected during screening sonography.Material and Methods: 54 pregnant women, with suspected fetal renal anomalies detected during routine ultrasound screening, were rescanned by MRI to refine the diagnosis of the suspected renal anomalies. The pregnancy outcome was examined externally and by postnatal ultrasonography.Results: Fifty-four cases of suspected renal anomalies detected during screening sonography of 8400 pregnant women (0.6%), were rescanned by MRI in this study. The MRI gave a similar diagnosis to postnatal ultrasound in 46 cases (16 cases of hydronephrosis, 14 cases of Polycystic Kidney Disease (PCKD), 9 cases of Multicystic Kidney Disease (MCKD), 2 cases of Renal Agensis (RA), 3 cases of single renal cyst and 2 cases of megacystis+hydroureter), while it gave a different diagnosis (false positive) in 6 cases (4 cases of hydronephrosis diagnosed by MRI confirmed to be PCKD by postnatal ultrasound, also, 1 case of MCKD diagnosed by MRI confirmed to be hydronephrosis by postnatal ultrasound and 1 case of RA diagnosed by MRI confirmed to be normal by postnatal ultrasound). The prenatal ultrasound gave a similar diagnosis to postnatal ultrasound in 43 cases (14 cases of hydronephrosis, 13 case of PCKD, 9 cases of MCKD, 2 cases of RA, 3 cases of single renal cyst and 2 case of megacystis+hydroureter), while it gave a different diagnosis (false positive) in 9 cases; 4 cases of hydronephrosis diagnosed by prenatal sonography confirmed to be PCKD by postnatal ultrasound, one case of PCKD+one case of MCKD, and one case of megacystis+hydroureter confirmed to be hydronephrosis by postnatal ultrasound, while one case of MCKD diagnosed by prenatal sonography was confirmed to be PCKD by postnatal ultrasound and one case of RA diagnosed by prenatal ultrasound was confirmed to be normal by postnatal ultrasound. Conclusion:The MRI can be used as a complementary adjunctive modality with excellent tissue contrast, especially in equivocal cases or inconclusive sonographic findings. (J Turkish-German Gynecol Assoc 2013; 14: 6-10) Key words: The magnetic resonance imaging (MRI), refining diagnosis, suspected, fetal, renal anomalies Received: 06 November, 2012 Accepted: 01 January, 2013 Amaç: Bu prospektif çalışma, tarama sonografisi sırasında saptanan şüpheli fetal renal anomali tanısını aydınlatmada manyetik rezonans görüntüleme (MRG)'nin rolünü saptamak için tasarlandı. Abstract Özet Gereç ve

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“…More recently, magnetic resonance imaging has been very accurate in the differential diagnosis of seminal vesicle cysts, 5 without needing to resort to more invasive investigations. 6,7 In this case our diagnostic flowchart was misinformed by clinical presentation, physical examination, and by the ultrasound. In particular the ultrasonic appearance of paratesticular hypo-anechoic dilated and convoluted structures with reflux during Valsalva maneuver led us to an initial incorrect diagnosis of varicocele.…”

Section: Fig 2 "Honeycomb" Appearance Of the Paratesticular Palpablmentioning

confidence: 99%

“…Treatment usually includes seminal way disclosure via transurethral resection of the ejaculatory duct and open, laparoscopic or robotic vesiculectomy. 3 Transrectal or transperineal aspiration is another option to relieve symptoms and to establish the diagnosis by allowing instillation of contrast material, 7 but simple cyst drainage is associated with the risk of recurrence, the return of symptoms, and possible infection. Open excision requires extensive dissection due to the deep location of seminal vesicles, and is associated with a high rate of morbidity.…”

Section: Fig 2 "Honeycomb" Appearance Of the Paratesticular Palpablmentioning

confidence: 99%

It’s not always varicocele: A strange case of Zinner syndrome

Pavan

Bucci

Mazzon

et al. 2015

CUAJ

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Original research E535Cite as: Can Urol Assoc J 2015;9(7-8):E535-8. http://dx.doi.org/10.5489/cuaj.2451 Published online July 17, 2015. AbstractA 42-year-old man presented with a huge varicocele. The patient was completely asymptomatic and he did not complain of dysuria, perineal discomfort, or ejaculatory pain. During the visit, the mass mimicked a varicocele and during the Valsalva maneuver a reflux was documented by colour Doppler ultrasound and an abdominal ultrasound revealed an agenesis of the right kidney and a 4.5-cm diameter intra-prostatic cyst. An abdominal and pelvis magnetic resonance imaging was then performed, which confirmed the right renal agenesis, with an epididymal enlargement in the body and tail. This is a unique case of Zinner syndrome in which the patient presented with a paratesticular mass mimicking a varicocele.

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Renal Agenesis and Seminal Vesicle Cyst

Cited by 22 publications

References 9 publications

Zinner’s syndrome: an up-to-date review of the literature based on a clinical case

Zinner’s syndrome: an up-to-date review of the literature based on a clinical case

The role of magnetic resonance imaging in refining the diagnosis of suspected fetal renal anomalies

It’s not always varicocele: A strange case of Zinner syndrome

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