Robotic-assisted laparoscopic vesiculectomy in a patient with atypical Zinner syndrome presenting with large cyst involving bilateral seminal vesicles and vasa deferentia

Razdan, Shirin; Kryvenko, Oleksandr N.; Razdan, Sanjay

doi:10.1016/j.eucr.2018.03.014

Cited by 9 publications

(14 citation statements)

References 5 publications

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“…Currently, in the area of minimal invasive surgery, laparoscopic and robot assisted surgery should definitely be considered. This minimally invasive approaches offer better vision, reduced blood loss, shorter hospital stay and faster recovery [5] .…”

Section: Discussionmentioning

confidence: 99%

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

Demaeyer

Holz

Pamart

et al. 2020

International Journal of Surgery Case Reports

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Highlights Zinner Syndrome is a congenital pathology due to an embryologic anomaly. This embryologic defect leads to unilateral renal agenesis, ipsilateral seminal vesicle cyst and ejaculatory duct obstruction. Complete excision of the seminal vesicle cyst is the only 100% effective treatment option for symptomatic patients. Minimally invasive approach like laparoscopy or robotic assisted laparoscopy should be considered as the surgical gold standard.

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Section: Discussionmentioning

confidence: 99%

“…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] .…”

Section: Discussionmentioning

confidence: 99%

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

Demaeyer

Holz

Pamart

et al. 2020

International Journal of Surgery Case Reports

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“…Secondary neoplastic involvement of seminal vesicle is more frequent as compared with PSVA. Diagnosis is unlikely at an early stage due to the absence of symptoms and when the patients become symptomatic, they often suggest locally advanced disease masking the seminal vesicular origin of the tumour 3 5 6. It has been suggested that agenesis or dysgenesis of the kidneys with ectopic ureters exposes the epithelium of the seminal vesicles to carcinogens which could lead to PSVA in one or both the glands 7…”

Section: Discussionmentioning

confidence: 99%

“…The patient was also found to have right renal agenesis and a right ectopic ureter inserting into the seminal vesicle (figure 3). A diagnosis of Zinner syndrome was considered preoperatively 3…”

Section: Investigationsmentioning

confidence: 99%

Primary seminal vesicle adenocarcinoma: a lethal yet cryptic malignancy with review of literature

et al. 2019

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The rarity of primary seminal vesical adenocarcinoma (PSVA) coupled with mostly late and advanced presentation with high mortality makes it an unanticipated malignancy with poor prognosis. Although there has been sporadic reporting of cases, the dearth of literature makes standardised care a challenge. The detection has incorporated immunohistochemistry for establishing the site of origin as well as the differentiation of primary from metastatic cancer. Surgical management with seminal vesiculectomy continues to be the mainstay of treatment, but difficult anatomy and delayed intervention do lead to an increased chance of residual disease that may warrant further adjuvant chemoradiation. We present a case report where PSVA developed in a patient with Zinner syndrome—an observation that is extremely rare with a literature review of PSVA including the various aspects of management including contemporary diagnosis techniques.

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“…Zoals bovenstaande casus laten zien, kan de diagnose echter ook een toevalsbevinding zijn. In de literatuur is bij symptomatische patiënten transurethrale aspiratie van de vesicula beschreven, met of zonder achterlaten van alcohol en minocycline [13], maar ook andere laparoscopische of robotgeassisteerde chirurgische ingrepen [6,14].…”

Section: Discussieunclassified

Case report. Zinner-syndroom: een zeldzame oorzaak van agenesie van de nier

et al. 2020

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Samenvatting De trias nieragenesie, ipsilaterale retentiecyste van de vesicula seminalis en obstructie van de ductus ejaculatorius is een zeldzaam syndroom, dat in 1914 voor het eerst werd beschreven door dr. Zinner. Het syndroom ontstaat doordat tijdens de embryogenese een aberrante ductus mesonephricus (buis van Wolff) ontstaat en geen ureterknop wordt gevormd. Dit leidt tot ipsilaterale nieragenesie en obstructie van de ductus ejaculatorius, welke uiteindelijk leidt tot dilatatie van de vesicula seminales. De diagnose wordt meestal bij toeval gesteld, hoewel patiënten zich ook kunnen presenteren met klachten, zoals dysurie, frequency, urgency, hematurie/ hematospermie, scrotalgie en pijn bij ejaculatie. De diagnose wordt gesteld op basis van diverse beeldvormende technieken, waarbij de MRI-scan vaak het sluitende bewijs geeft. Dit case report het diagnose-en behandeltraject bij drie patiënten. Daarnaast wordt een overzicht van de embryologie en huidige stand van zaken binnen de beeldvorming en behandeling van het Zinner-syndroom gegeven. Trefwoorden Zinner-syndroom • nieragenesie • cyste vesicula seminalis Case report. Zinner syndrome: rare cause of agenesis of the kidney Abstract The trias of renal agenesis, unilateral cyst of the vesicula and obstruction of the ductus ejaculatorius is a rare syndrome which was first described drs. M. J. te Dorsthorst () • dr. M. R. van Balken afdeling Urologie,

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Robotic-assisted laparoscopic vesiculectomy in a patient with atypical Zinner syndrome presenting with large cyst involving bilateral seminal vesicles and vasa deferentia

Cited by 9 publications

References 5 publications

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

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

Primary seminal vesicle adenocarcinoma: a lethal yet cryptic malignancy with review of literature

Case report. Zinner-syndroom: een zeldzame oorzaak van agenesie van de nier

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