Management Strategies for Seminal Vesicle Cysts in Zinner Syndrome: Insights From Two Cases

Area of Science:

• Urology
• Congenital Malformations
• Male Reproductive System Disorders

Background:

• Zinner syndrome is a rare congenital genitourinary malformation.
• It involves unilateral renal agenesis, seminal vesicle cysts, and ejaculatory duct obstruction.
• Symptoms typically manifest in the third or fourth decade of life.

Observation:

• Two cases of Zinner syndrome with distinct clinical presentations and management strategies were analyzed.
• One patient with mild symptoms was managed conservatively with observation.
• A second patient, refractory to medical therapy, underwent successful robotic-assisted laparoscopic vesiculectomy.

Findings:

• Conservative management can be effective for select patients with mild Zinner syndrome.
• Minimally invasive robotic surgery offers a safe and effective treatment option for symptomatic Zinner syndrome.
• Both approaches led to significant symptom improvement in the presented cases.

Implications:

• These cases underscore the importance of individualized treatment plans for Zinner syndrome.
• Minimally invasive techniques are viable for managing Zinner syndrome, reducing patient morbidity.
• Further research into optimal management strategies for this rare condition is warranted.