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Medicina (Buenos Aires)

Print version ISSN 0025-7680On-line version ISSN 1669-9106

Abstract

RICO, Luis et al. Minimally invasive management of Zinner’s syndrome. Medicina (B. Aires) [online]. 2021, vol.81, n.6, pp.1073-1075. ISSN 0025-7680.

Zinner’s syndrome (ZS) is a rare congenital malformation of the seminal vesicles and ipsilateral upper urinary tract which is characterized by the triad of ipsilateral ejaculatory duct obstruction, semi nal vesicle cysts, and renal agenesis. We report an 18-year-old male who presented intermittent gross hematuria and hematospermia and ejaculation volume diminution. ZS was diagnosed with magnetic resonance imaging (MRI) of the prostate, among other complementary studies requested. We performed a minimally laparoscopic resection of the left seminal vesicle. The postoperative was uneventful symptoms resolved, and 3 months later semen analysis showed increase in ejaculation volume. Currently, the minimally invasive approach is feasible and effective for the treatment of the seminal vesicle cysts excision in the ZS. We presented a symptomatic patient treated by a laparoscopic approach with successful middle follow-up results.

Keywords : Laparoscopy; Zinner syndrome.

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