Abstract
The present article reports 18-year-old boy came to the urology clinic with perineal discomfort and few episodes of incomplete emptying of the bowel for two months. He did not claim any symptoms related to his voiding or ejaculation. The abdominal and external genitalia examination was regular. He had average prostate size on digital rectal examination with a palpable painless cystic mass just above the prostate gland. Zinner's syndrome should be a differential diagnosis in young patients with urinary symptoms and unilateral renal agenesis. A detailed review of the relevant literature is also presented.
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