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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Wiley
2025-07-01
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| Series: | IJU Case Reports |
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| Online Access: | https://doi.org/10.1002/iju5.70029 |
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| author | Tejasvi Patil Amogh Verma Rajat Sachdeva Shubham Kumar Shilpa Gaidhane Sanjit Sah Prakasini Satapathy Rachana Mehta Benjamin Wafula Simiyu Vinay Suresh |
| author_facet | Tejasvi Patil Amogh Verma Rajat Sachdeva Shubham Kumar Shilpa Gaidhane Sanjit Sah Prakasini Satapathy Rachana Mehta Benjamin Wafula Simiyu Vinay Suresh |
| author_sort | Tejasvi Patil |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-e4885efc64434b169e8e6eee9d5b9096 |
| institution | OA Journals |
| issn | 2577-171X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | IJU Case Reports |
| spelling | doaj-art-e4885efc64434b169e8e6eee9d5b90962025-08-20T02:38:09ZengWileyIJU Case Reports2577-171X2025-07-018432232510.1002/iju5.70029Zinner Syndrome Presenting With Chronic Pelvic Pain and Ejaculatory DysfunctionTejasvi Patil0Amogh Verma1Rajat Sachdeva2Shubham Kumar3Shilpa Gaidhane4Sanjit Sah5Prakasini Satapathy6Rachana Mehta7Benjamin Wafula Simiyu8Vinay Suresh9Department of Radiology Rama Medical College Hospital and Research Centre Hapur IndiaDepartment of Internal Medicine Rama Medical College Hospital and Research Centre Hapur IndiaDepartment of Radiology Rama Medical College Hospital and Research Centre Hapur IndiaCenter for Global Health Research Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University Chennai IndiaOne Health Centre (COHERD) Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education Wardha IndiaDepartment of Paediatrics Dr. D. Y. Patil Medical College Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed‐To‐Be‐University) Pune Maharashtra IndiaUniversity Center for Research and Development Chandigarh University Mohali Punjab IndiaClinical Microbiology, RDC Manav Rachna International Institute of Research and Studies Faridabad Haryana IndiaSchool of Medicine, College of Health Sciences, Uzima University Kisumu KenyaKing George's Medical University Lucknow IndiaABSTRACT 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.https://doi.org/10.1002/iju5.70029conservative managementejaculatory duct obstructionseminal vesicle cystunilateral renal agenesisZinner syndrome |
| spellingShingle | Tejasvi Patil Amogh Verma Rajat Sachdeva Shubham Kumar Shilpa Gaidhane Sanjit Sah Prakasini Satapathy Rachana Mehta Benjamin Wafula Simiyu Vinay Suresh Zinner Syndrome Presenting With Chronic Pelvic Pain and Ejaculatory Dysfunction IJU Case Reports conservative management ejaculatory duct obstruction seminal vesicle cyst unilateral renal agenesis Zinner syndrome |
| title | Zinner Syndrome Presenting With Chronic Pelvic Pain and Ejaculatory Dysfunction |
| title_full | Zinner Syndrome Presenting With Chronic Pelvic Pain and Ejaculatory Dysfunction |
| title_fullStr | Zinner Syndrome Presenting With Chronic Pelvic Pain and Ejaculatory Dysfunction |
| title_full_unstemmed | Zinner Syndrome Presenting With Chronic Pelvic Pain and Ejaculatory Dysfunction |
| title_short | Zinner Syndrome Presenting With Chronic Pelvic Pain and Ejaculatory Dysfunction |
| title_sort | zinner syndrome presenting with chronic pelvic pain and ejaculatory dysfunction |
| topic | conservative management ejaculatory duct obstruction seminal vesicle cyst unilateral renal agenesis Zinner syndrome |
| url | https://doi.org/10.1002/iju5.70029 |
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