A Case Report of Three Port Management of Zinner Syndrome

Abstract

A peculiar case of ischuria secondary to Zinner syndrome. A complete excision via laparoscopic approach given a 100 percent symptomatic relief is a safe and effective. Symptomatic congenital cysts require an appropriate management. Case Description: Case of 21 years male presented in urology unit with features of obstructive uropathy, acute urinary retention and severe lower abdominal pain on evaluation found to had left kidney agenesis and left seminal vesical cyst [1]. A Three port laparoscopic transperitoneal approach performed and left side seminal vesical cyst removal done. The peritoneum was incised between the bladder and the rectum to reveal the left seminal vesicle, which was resected from the surrounding tissue and removal of the cyst done. Discussion: Aim of the study was to show the advancement and usefulness of the laparoscopic approach with short hospital stay and painless procedure, minimal blood loss. Procedure lasted for 60 mins. Unrecordable post intraoperative complications. Patient had been discharged after 36 hours after the procedure, on follow up patient is asymptomatic for 24 months of the procedure. Symptomatic Zinner syndrome with appropriate identification and laparoscopic approach and magnified view better than open and other invasive techniques should be a method of choice in treatment of the congenital seminal vesical cyst and currently a golden surgical standard.