Robot-Assisted Excision of Congenital Mega-Seminal Vesicle Associated with Zinner's Syndrome

Abstract

Background: Abnormalities of mesonephric ducts are rare congenital conditions, which can present with vague symptoms in otherwise healthy men. Zinner's syndrome is the association of an enlarged seminal vesicle cyst with ipsilateral renal agenesis, which can be symptomatic and require operative interventions. Case: We present the case of an otherwise healthy 24-year-old man who presented with a symptomatic 15 cm seminal vesicle cyst, which was completely excised using a robot-assisted approach. Conclusion: Use of robotic surgery for excision of large seminal vesicle cysts is a safe and effective operative procedure.

Robotic management of painful Zinner syndrome, case report and review of literature

“…To the best of our knowledge, only 6 cases of Zinner syndrome that have been managed by robotic surgical resection of the seminal vesicle cyst, have been described in the literature [5] , [6] , [7] , [8] , [9] , [10] .…”

Zinner Syndrome Unmasked by Workup for Renal Colic and Uncontrolled Hypertension

“…ZS is considered a sequela of the malformation of the mesonephric (Wolffian) duct. Malformation in the proximal segment of the mesonephric duct during the 13th to 14th weeks of gestation can lead to the growth failure of the ureteric bud, resulting in agenesis or dysgenesis of the kidney [4]. Likewise, a malformation in the distal mesonephric duct results in atresia of the ejaculatory duct, which may cause the chronic obstruction and cystic dilation of the seminal vesicles [4].…”

“…Malformation in the proximal segment of the mesonephric duct during the 13th to 14th weeks of gestation can lead to the growth failure of the ureteric bud, resulting in agenesis or dysgenesis of the kidney [4]. Likewise, a malformation in the distal mesonephric duct results in atresia of the ejaculatory duct, which may cause the chronic obstruction and cystic dilation of the seminal vesicles [4]. Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome is sometimes considered the female counterpart of this disorder, in which women develop uterine agenesis and malformed vagina [1].…”