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Submitted
Abstract
Beyond the Usual Suspects: Zinner Syndrome and Urinary Dysfunction
Moderated Poster Abstract
Case Study
Functional Urology: Reconstructive Surgery
Author's Information
2
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India
Dr. Deepak David drdeepak1983@gmail.com Dr. Jeyasekharan Medical trust Department of Urology Nagercoil India *
Dr. Devaprasath Jeyasekharan renuprasath@gmail.com Dr. Jeyasekharan Medical trust Department of Urology Nagercoil India -
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Abstract Content
Zinner syndrome, a rare congenital Müllerian duct anomaly, presents with seminal vesicle cysts, unilateral renal agenesis, and ejaculatory duct obstruction. Often asymptomatic until adulthood, it can cause infertility or bladder outlet obstruction. Early diagnosis and timely treatment improve outcomes and quality of life.
A 23-year-old male with a history of poor urine flow for 2–3 years and recent painful micturition was found to have a 1.5×2 cm cystic mass on digital rectal examination. Semen analysis revealed oligo-asthenospermia, while imaging confirmed right renal agenesis and a seminal vesicle cyst. MRI identified ejaculatory duct obstruction, leading to a diagnosis of Zinner syndrome. The patient underwent cystoscopy and exploratory laparotomy for cyst excision, with regular postoperative follow-up.
The patient experienced complete relief from urinary symptoms post-procedure. Uroflowmetry showed a Qmax of 30 ml/sec, and semen analysis indicated improved sperm count and motility. Recovery was uneventful, with no recurrence during follow-up
Urogenital anomalies often go undiagnosed due to vague symptoms. In this case, thorough evaluation and imaging led to an accurate diagnosis and timely treatment, resulting in symptom resolution. This highlights the need for comprehensive diagnostic workups to identify congenital anomalies and improve outcomes.
Zinner Syndrome, Bladder Outlet Obstruction, Seminal Vesicle Cyst, Ejaculatory Duct Obstruction, Renal Agenesis, Congenital Urogenital Anomaly
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