Zinner Syndrome Presenting With Chronic Pelvic Pain and Ejaculatory Dysfunction

ABSTRACT Introduction Zinner Syndrome is a rare congenital anomaly involving unilateral renal agenesis, ipsilateral seminal vesicle cyst, and ejaculatory duct obstruction. We report a symptomatic case managed conservatively. Case Presentation A 19‐year‐old male presented with 6 months of intermitten...

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Published inIJU case reports Vol. 8; no. 4; pp. 322 - 325
Main Authors Patil, Tejasvi, Verma, Amogh, Sachdeva, Rajat, Kumar, Shubham, Gaidhane, Shilpa, Sah, Sanjit, Satapathy, Prakasini, Mehta, Rachana, Simiyu, Benjamin Wafula, Suresh, Vinay
Format Journal Article
LanguageEnglish
Published Australia John Wiley & Sons, Inc 01.07.2025
John Wiley and Sons Inc
Wiley
Subjects
Antibiotics
Asymptomatic
Case Report
Case reports
Chronic illnesses
conservative management
Cysts
Data analysis
ejaculatory duct obstruction
Fertility
Hematuria
Hydration
Infections
Infertility
Laparoscopy
Magnetic resonance imaging
Pain
Pediatrics
Prostate
Robotics
seminal vesicle cyst
Surgery
Ultrasonic imaging
unilateral renal agenesis
Urology
Zinner syndrome
seminal vesicle cyst
Zinner syndrome
ejaculatory duct obstruction
conservative management
unilateral renal agenesis
Online AccessGet full text
ISSN2577-171X
2577-171X
DOI10.1002/iju5.70029

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Abstract ABSTRACT Introduction Zinner Syndrome is a rare congenital anomaly involving unilateral renal agenesis, ipsilateral seminal vesicle cyst, and ejaculatory duct obstruction. We report a symptomatic case managed conservatively. Case Presentation A 19‐year‐old male presented with 6 months of intermittent pelvic pain, dysuria, and ejaculatory discomfort. Examination was unremarkable. Ultrasonography showed right renal agenesis and a pelvic cyst. MRI confirmed a 2.8 cm cystic dilatation of the right seminal vesicle with vas deferens dilatation and absent right kidney. No ectopic renal tissue was seen. Semen analysis revealed oligospermia. Given mild symptoms and fertility concerns, he was treated conservatively with NSAIDs and antibiotics, resulting in symptom improvement within 4 weeks. Surveillance was planned. Conclusion Zinner Syndrome should be considered in young males with unexplained pelvic or ejaculatory symptoms. MRI is essential for accurate diagnosis. Conservative treatment is suitable for mild cases, reserving surgery for progressive symptoms or fertility issues.
AbstractList Zinner Syndrome is a rare congenital anomaly involving unilateral renal agenesis, ipsilateral seminal vesicle cyst, and ejaculatory duct obstruction. We report a symptomatic case managed conservatively.IntroductionZinner Syndrome is a rare congenital anomaly involving unilateral renal agenesis, ipsilateral seminal vesicle cyst, and ejaculatory duct obstruction. We report a symptomatic case managed conservatively.A 19-year-old male presented with 6 months of intermittent pelvic pain, dysuria, and ejaculatory discomfort. Examination was unremarkable. Ultrasonography showed right renal agenesis and a pelvic cyst. MRI confirmed a 2.8 cm cystic dilatation of the right seminal vesicle with vas deferens dilatation and absent right kidney. No ectopic renal tissue was seen. Semen analysis revealed oligospermia. Given mild symptoms and fertility concerns, he was treated conservatively with NSAIDs and antibiotics, resulting in symptom improvement within 4 weeks. Surveillance was planned.Case PresentationA 19-year-old male presented with 6 months of intermittent pelvic pain, dysuria, and ejaculatory discomfort. Examination was unremarkable. Ultrasonography showed right renal agenesis and a pelvic cyst. MRI confirmed a 2.8 cm cystic dilatation of the right seminal vesicle with vas deferens dilatation and absent right kidney. No ectopic renal tissue was seen. Semen analysis revealed oligospermia. Given mild symptoms and fertility concerns, he was treated conservatively with NSAIDs and antibiotics, resulting in symptom improvement within 4 weeks. Surveillance was planned.Zinner Syndrome should be considered in young males with unexplained pelvic or ejaculatory symptoms. MRI is essential for accurate diagnosis. Conservative treatment is suitable for mild cases, reserving surgery for progressive symptoms or fertility issues.ConclusionZinner Syndrome should be considered in young males with unexplained pelvic or ejaculatory symptoms. MRI is essential for accurate diagnosis. Conservative treatment is suitable for mild cases, reserving surgery for progressive symptoms or fertility issues.
ABSTRACT Introduction Zinner Syndrome is a rare congenital anomaly involving unilateral renal agenesis, ipsilateral seminal vesicle cyst, and ejaculatory duct obstruction. We report a symptomatic case managed conservatively. Case Presentation A 19‐year‐old male presented with 6 months of intermittent pelvic pain, dysuria, and ejaculatory discomfort. Examination was unremarkable. Ultrasonography showed right renal agenesis and a pelvic cyst. MRI confirmed a 2.8 cm cystic dilatation of the right seminal vesicle with vas deferens dilatation and absent right kidney. No ectopic renal tissue was seen. Semen analysis revealed oligospermia. Given mild symptoms and fertility concerns, he was treated conservatively with NSAIDs and antibiotics, resulting in symptom improvement within 4 weeks. Surveillance was planned. Conclusion Zinner Syndrome should be considered in young males with unexplained pelvic or ejaculatory symptoms. MRI is essential for accurate diagnosis. Conservative treatment is suitable for mild cases, reserving surgery for progressive symptoms or fertility issues.
Zinner Syndrome is a rare congenital anomaly involving unilateral renal agenesis, ipsilateral seminal vesicle cyst, and ejaculatory duct obstruction. We report a symptomatic case managed conservatively. A 19-year-old male presented with 6 months of intermittent pelvic pain, dysuria, and ejaculatory discomfort. Examination was unremarkable. Ultrasonography showed right renal agenesis and a pelvic cyst. MRI confirmed a 2.8 cm cystic dilatation of the right seminal vesicle with vas deferens dilatation and absent right kidney. No ectopic renal tissue was seen. Semen analysis revealed oligospermia. Given mild symptoms and fertility concerns, he was treated conservatively with NSAIDs and antibiotics, resulting in symptom improvement within 4 weeks. Surveillance was planned. Zinner Syndrome should be considered in young males with unexplained pelvic or ejaculatory symptoms. MRI is essential for accurate diagnosis. Conservative treatment is suitable for mild cases, reserving surgery for progressive symptoms or fertility issues.
ABSTRACT Introduction Zinner Syndrome is a rare congenital anomaly involving unilateral renal agenesis, ipsilateral seminal vesicle cyst, and ejaculatory duct obstruction. We report a symptomatic case managed conservatively. Case Presentation A 19‐year‐old male presented with 6 months of intermittent pelvic pain, dysuria, and ejaculatory discomfort. Examination was unremarkable. Ultrasonography showed right renal agenesis and a pelvic cyst. MRI confirmed a 2.8 cm cystic dilatation of the right seminal vesicle with vas deferens dilatation and absent right kidney. No ectopic renal tissue was seen. Semen analysis revealed oligospermia. Given mild symptoms and fertility concerns, he was treated conservatively with NSAIDs and antibiotics, resulting in symptom improvement within 4 weeks. Surveillance was planned. Conclusion Zinner Syndrome should be considered in young males with unexplained pelvic or ejaculatory symptoms. MRI is essential for accurate diagnosis. Conservative treatment is suitable for mild cases, reserving surgery for progressive symptoms or fertility issues.
Author Satapathy, Prakasini
Sachdeva, Rajat
Gaidhane, Shilpa
Mehta, Rachana
Patil, Tejasvi
Kumar, Shubham
Suresh, Vinay
Sah, Sanjit
Verma, Amogh
Simiyu, Benjamin Wafula
AuthorAffiliation 7 University Center for Research and Development Chandigarh University Mohali Punjab India
10 School of Medicine, College of Health Sciences, Uzima University Kisumu Kenya
9 Clinical Microbiology, RDC Manav Rachna International Institute of Research and Studies Faridabad Haryana India
2 Department of Internal Medicine Rama Medical College Hospital and Research Centre Hapur India
3 Center for Global Health Research Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University Chennai India
1 Department of Radiology Rama Medical College Hospital and Research Centre Hapur India
5 Department of Paediatrics Dr. D. Y. Patil Medical College Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed‐To‐Be‐University) Pune Maharashtra India
11 King George's Medical University Lucknow India
6 Department of Medicine Korea University Seoul South Korea
4 One Health Centre (COHERD) Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Educa
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Issue 4
Keywords seminal vesicle cyst
Zinner syndrome
ejaculatory duct obstruction
conservative management
unilateral renal agenesis
Language English
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Notes Amogh Verma and Tejasvi Patil contributed equally and are the co‐first authors.
The authors received to specific funding for this work.
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Snippet ABSTRACT Introduction Zinner Syndrome is a rare congenital anomaly involving unilateral renal agenesis, ipsilateral seminal vesicle cyst, and ejaculatory duct...
Zinner Syndrome is a rare congenital anomaly involving unilateral renal agenesis, ipsilateral seminal vesicle cyst, and ejaculatory duct obstruction. We report...
ABSTRACT Introduction Zinner Syndrome is a rare congenital anomaly involving unilateral renal agenesis, ipsilateral seminal vesicle cyst, and ejaculatory duct...
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SubjectTerms Antibiotics
Asymptomatic
Case Report
Case reports
Chronic illnesses
conservative management
Cysts
Data analysis
ejaculatory duct obstruction
Fertility
Hematuria
Hydration
Infections
Infertility
Laparoscopy
Magnetic resonance imaging
Pain
Pediatrics
Prostate
Robotics
seminal vesicle cyst
Surgery
Ultrasonic imaging
unilateral renal agenesis
Urology
Zinner syndrome
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Title Zinner Syndrome Presenting With Chronic Pelvic Pain and Ejaculatory Dysfunction
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