Robot-assisted vesiculectomy for Zinner syndrome

Kamalov A.A., Karpov V.K., Pshikhachev A.M., Tahirzade A.M., Nesterova O.Yu., Mamedov E.M., Ekhoyan M.M., Shaparov B.M., Osmanov O.A.

1) University Clinic, Medical Scientific and Educational Institute, Lomonosov Moscow State University. Moscow, Russian Federation; 2) Faculty of Fundamental Medicine, Medical Scientific and Educational Institute, Lomonosov Moscow State University, Moscow, Russian Federation; 3) GBUZ City Clinical Hospital No. 31 named after academician G.M. Savelieva of Moscow Healthcare Department, Moscow, Russian Federation; 4) Central Clinical Hospital of Civil Aviation, Moscow, Russian Federation; 5) Moscow State Technical University, Department of Urology and General Surgery of the Medical Institute, Maykop, Republic of Adygea, Russian Federation

The association of congenital cysts of seminal vesicles with unilateral renal agenesis and obstruction of the vas deferens was first described by A.Zinner in 1914. Later, the combination of these anomalies was called Zinner’s syndrome. Zinner’s syndrome occurs in just over 200 cases out of 100,000 patients and includes a triad of symptoms: cystic formation of the seminal vesicle, obstruction of the vas deferens and ipsilateral renal agenesis. Zinner’s syndrome is most often asymptomatic until the third or fourth decade of life, and symptoms usually appear with the onset of sexual activity. Patients usually have non-specific symptoms such as problems urinating, pain in the perineum, possible hematuria, recurrent urinary tract infections, and painful ejaculation. Infertility caused by obstruction of the vas deferens is also common. The severity of the symptoms is associated with an increase in cyst size. Minimally invasive interventions such as traditional laparoscopy or robot-assisted surgery are safe and effective and should currently be considered the gold standard of treatment. In the framework of this work, we present a clinical case of treatment of a patient with Zinner’s syndrome.

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About the Authors

Corresponding author: O.A. Osmanov – urologist at the Department of Urology of the GBUZ City Clinical Hospital No. 31 named after academician G.M. Savelieva of Moscow Healthcare Department, Moscow, Russia; e-mail: omar_osmanov07@mail.ru