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  • Clinical case of Zinner syndrome

    Редактор | 2018, Clinical case, Practical medicine 01 (18) Modern questions of diagnostics | 29 марта, 2018

    A.Yu. ZUBKOV, N.A. ANTONOV

    Kazan State Medical University, 49 Butlerov Str., Kazan, Russian Federation, 420012

    Zubkov A.Yu. — Cand. Med. Sc., Associate Professor of Urology Department, tel. +7-917-231-52-05, e-mail:dr.alexz@icloud.com

    Antonov N.A. — 6th year student of Therapy Faculty, Head of Students’ Research Society in Urology, tel. +7-987-265-45-20, e-mail: Kolyan28.09.93@gmail.com

     Zinner syndrome is an extremely rare congenital anomaly characterized by a triad of signs: the presence of a seminal vesicle cyst, a kidney ipsilateral aplasia, and a vas deferens obstruction. As a rule, it proceeds asymptomatically and leads to the severe complication — male infertility.

    Some patients experience painful ejaculation, hemospermia, dysuria, epididymitis, pain in the scrotum and perineum. In most cases, Zinner syndrome is detected in patients in the sexually mature age accidentally during medical examination. The article lists the modern methods of diagnosing, treatment and further assistance to patients with this urological pathology, gives the detailed analysis of a clinical case of Zinner syndrome at the urological clinic of Kazan State Medical University, and presents the authors’ own results of diagnosing and treatment of a patient.

    Key words: Zinner syndrome, seminal vesicle cyst, kidney aplasia, male infertility.

    REFERENCES

    1. Zinner A. Ein fall von intravesikalerSamenblasenzyste. Wien. med. Wschr., 1914, bd. 64, pp. 605–609.
    2. Parsons R.B., Fisher A.M., Bar-Chama N. et al. MR Imaging in male infertility. Radiographics, 1997, vol. 17, pp. 627–637.
    3. Van den Ouden D., Blom J. H., Bangma C., de Spiegeleer A. H. Diagnosis and management of seminal vesicle cystsassociated with ipsilateral renal agenesis: a pooled analysisof 52 cases. Eur. Urol., 1998; 33:433.
    4. Vasil’ev A.O., Govorov A.V., Kolontarev K.B. et al. Experience in the treatment of patients with Zinner syndrome. Problemy reproduktsii, 2014; (2): 72–77 (in Russ.).
    5. Livingston L., Larsen C.R. Seminal vesicle cyst with ipsilateral renal agenesis. AJR. Amer. J. Roentgenol., 2000, vol. 175, pp. 177–180.
    6. Altobelli E., Bove A. M., Falavolti C. Robotic-assistedlaparoscopic approach in the treatment for Zinner’s Syndrome associated with ipsilateralmegaureter and in-complete double-crossed ectopic ureter. Int. Urol. Nephrol., 2013, vol. 45(3), pp. 635–638.

    Метки: 2018, A.Yu. ZUBKOV, kidney aplasia, male infertility, N.A. ANTONOV, Practical medicine 01 (18) Modern questions of diagnostics, seminal vesicle cyst, Zinner syndrome

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