Robot-assisted radical prostatectomy in a patient with Zinner syndrome

To our knowledge, this is the first reported case of Robot-Assisted Radical Prostatectomy (RARP) in a patient with Zinner syndrome, a rare congenital condition characterized by unilateral renal agenesis, seminal vesicle cysts, and ejaculatory duct obstruction.

A 64-year-old male with elevated PSA was diagnosed with low-risk prostate cancer. Preoperative imaging confirmed Zinner syndrome, posing unique anatomical challenges. The procedure was successfully performed using the Da Vinci robotic system, allowing precise removal of the prostate, non-functioning kidney, and dilated ureter from the standard port setting without changing the patient's position. The surgery was completed with minimal complications, and the patient recovered well.

The anatomical anomalies associated with Zinner syndrome complicate standard surgical approaches. Robotic-assisted techniques provide enhanced visualization and precision, facilitating safe and effective management of these cases.

This urological procedure can be safely and efficiently performed on patients with Zinner Syndrome and synchronous prostate cancer by urological surgeons with extensive experience in robotic surgery in high-volume centers.