Zinner syndrome: an unusual cause of bladder outflow obstruction

Shah, Sonali; Patel, Ramesh; Sinha, Rakesh; Harris, Maya

doi:10.1259/bjrcr.20160094

Cited by 7 publications

(4 citation statements)

References 8 publications

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“…The ureteral bud originates from the dorsal aspect of the distal mesonephric canal and extends dorsocranially to meet and stimulate the transformation of the metanephric blastema to form the adult kidney. The mesonephric duct is divided into epididymis, paradidim, vas deferens, ejaculatory duct, seminal vesicle and hemitrigon under the influence of testosterone and anti-muller hormone (10). Alternatively, there will be abnormal ureteral budding, which leads to ipsilateral kidney agenesis or dysplasia and atresia of the ejaculatory duct and, consequently, to occlusion and cystic dilatation of the mesonephric duct (11).…”

Section: Discussionmentioning

confidence: 99%

Zinner Syndrome Versus Herlyn-Werner-Wunderlich Syndrome; Rare Congenital Genitourinary Malformations and Literature Review

Türkoğlu,

Göya,

Demir

2024

New J Urol.

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Zinner Syndrome (ZS) and Herlyn-Werner-Wunderlich Syndrome (HWWS) are congenital genitourinary anomalies accompanied by ipsilateral renal agenesis. These syndromes, which can cause symptoms such as infertility, pelvic pain, and bladder irritation, can be diagnosed by digital rectal examination, transrectal and abdominal ultrasonography (US), Computer Tomography (CT) and more ideally Magnetic resonance imaging (MRI). Similar physiopathological processes are observed in both syndromes and urogenital malformations accompany renal agenesis. We aimed to discuss the three cases of ZS in men and two HWWS cases in women, which are rarely observed in the literature.

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Section: Discussionmentioning

confidence: 99%

Zinner Syndrome Versus Herlyn-Werner-Wunderlich Syndrome; Rare Congenital Genitourinary Malformations and Literature Review

Türkoğlu,

Göya,

Demir

2024

New J Urol.

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“…[5] e seminal vesicles are situated directly posterior to bladder, and therefore, enlarged cysts can cause bladder irritation leading to symptoms of dysuria, recurrent urinary tract infections, infertility, painful ejaculation, epididymitis, and prostatitis. [6] Ejaculatory duct obstruction leads to the characteristic symptoms of dysuria and causes infertility in this rare developmental anomaly of the male genitor-urinary system. [2] Painful ejaculation is also known as dysorgasmia or orgasmalgia.…”

Section: Discussionmentioning

confidence: 99%

Rare Cause of Painful Ejaculation – Zinner’s Syndrome: A Case Report

Jaganathan

Kathirvelu

Nagarajan

et al. 2020

AJS

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Zinner’s syndrome is a rare congenital abnormality consisting of unilateral renal agenesis, ipsilateral seminal vesicle cyst, and ipsilateral ejaculatory duct obstruction. The mutual embryological origins of the seminal vesicle and the ureteral bud from the Wolffian duct result in both anomalous seminal vesicle and urinary tracts. Most cases have nonspecific symptoms such as prostatism, urinary urgency, dysuria, painful ejaculation, and perineal discomfort. The usual presentation is between the third and fourth decades of life, with infertility being the most common complaint. Ultrasound and magnetic resonance imaging can easily detect this condition. We present here an extremely rare developmental anomaly involving the Wolffian ducts, which would remain undiagnosed but for radiologic imaging.

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“…Most of the patients with cyst size <5 cm are asymptomatic. [11] Other patients manifest at the reproductive age group, with infertility as the most common presentation. [12] The various other manifestations reported till date include infertility, UTIs, painful ejaculations, epididymitis, prostatitis, and bladder outlet obstruction.…”

Section: Discussionmentioning

confidence: 99%

Zinner syndrome mimicking bladder outlet obstruction managed with aspiration

et al. 2019

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Zinner syndrome is a rare cystic malformation of seminal vesicle which consists a triad of unilateral renal agenesis, ipsilateral seminal vesicle cyst, and ejaculatory duct obstruction. The usual presentation is between the third and fourth decades of life, with infertility being the most common complaint. Ultrasound, cystoscopy, and magnetic resonance tomography (MRI) can easily detect this condition. Treatment option varies according to the presenting symptoms of the patient. We present a case of a 19-year-old male with recurrent episodes of urinary tract infection (UTI) and poor urinary stream. On ultrasound examination, the patient was found to have absent right kidney with a cystic swelling noted to be arising from prostate or seminal vesicle region which was further confirmed on MRI examination. Cystoscopy reveals a bulge on the right side of the verumontanum abutting the neck of the bladder. An ultrasound-guided aspiration of the cyst was performed which relieved the symptoms of the patient. Cystic abnormalities of the seminal vesicle are very uncommon. Symptomatic cases may present as recurrent UTI, infertility, bladder outlet obstruction, and painful ejaculation. Surveillance may be the option in the absence of clinical manifestations. Interventions such as image-guided aspiration or surgical procedures are appropriate when conservative measures prove ineffective.

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Zinner syndrome: an unusual cause of bladder outflow obstruction

Cited by 7 publications

References 8 publications

Zinner Syndrome Versus Herlyn-Werner-Wunderlich Syndrome; Rare Congenital Genitourinary Malformations and Literature Review

Zinner Syndrome Versus Herlyn-Werner-Wunderlich Syndrome; Rare Congenital Genitourinary Malformations and Literature Review

Rare Cause of Painful Ejaculation – Zinner’s Syndrome: A Case Report

Zinner syndrome mimicking bladder outlet obstruction managed with aspiration

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