Zinner Syndrome Presenting With Chronic Pelvic Pain and Ejaculatory Dysfunction
Tejasvi Patil1, Amogh Verma2, Rajat Sachdeva1
1Department of Radiology Rama Medical College Hospital and Research Centre Hapur India.
IJU Case Reports
|July 3, 2025
Summary
Zinner Syndrome, a rare congenital anomaly, involves kidney and seminal vesicle issues. This case highlights conservative management for mild symptoms, improving patient outcomes.
Area of Science:
- Urology
- Medical Genetics
Background:
- Zinner Syndrome is a rare congenital anomaly characterized by unilateral renal agenesis, ipsilateral seminal vesicle cyst, and ejaculatory duct obstruction.
- It typically presents in young males with pelvic pain, dysuria, and ejaculatory discomfort.
Purpose of the Study:
- To report a symptomatic case of Zinner Syndrome.
- To discuss the diagnostic approach and conservative management strategy.
Main Methods:
- A 19-year-old male with a 6-month history of pelvic pain and ejaculatory discomfort was evaluated.
- Diagnostic imaging included ultrasonography and Magnetic Resonance Imaging (MRI).
- Conservative treatment with NSAIDs and antibiotics was initiated.
Main Results:
- MRI confirmed right renal agenesis, a right seminal vesicle cyst, and vas deferens dilatation.
- The patient experienced symptom improvement within 4 weeks of conservative management.
- Oligospermia was noted, indicating potential fertility concerns.
Conclusions:
- Zinner Syndrome should be considered in young males with unexplained pelvic or ejaculatory symptoms.
- MRI is crucial for accurate diagnosis of Zinner Syndrome.
- Conservative management is appropriate for mild cases, with surgery reserved for severe or progressive symptoms.
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