Conservative Management of a Congenital Seminal Vesicle Cyst Associated with Ipsilateral Renal Agenesis Revealed by Cystitis: One Case Report

Ahallal, Y.; Tazi, Mohammed Fadl; Khallouk, Abdelhak; Elammari, Jalaleddine; Elfassi, Mohammed Jamal; Farih, Moulay Hassan

doi:10.1155/2011/125753

Cited by 8 publications

(23 citation statements)

References 6 publications

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“…To the best of our knowledge, ZS has been reported in 19 papers and 50 patients in pediatric age, with a median age at diagnosis of 12.5 years (range 0–18 years) (1, 3–8, 10–12, 15–22). The side was right in 23, left in 24, bilateral in one and not reported in two patients.…”

Section: Literature Review and Discussionmentioning

confidence: 99%

Zinner Syndrome in Pediatric Age: Issues in the Diagnosis and Treatment of a Rare Malformation Complex

et al. 2019

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Zinner syndrome (ZS) is the association of congenital seminal vesicle cysts and ipsilateral upper urinary tract anomalies, such as multicystic displastic kidney (MCDK). This condition is rare in pediatric age and both diagnosis and treatment are challenging. The aim of this study was to analyze the issues in diagnosis, management, and treatment of ZS in pediatric age. The medical records of two patients with ZS were examined. Furthermore, a review of the literature on this topic in pediatric age was performed. In our experience the diagnosis of ZS was incidentally achieved in the first months of life, as a consequence of studies performed for a prenatal diagnosis of MCDK. The first patient presented unspecific and transient symptoms, the second infant was completely asymptomatic. They were conservatively treated, with a long-term follow-up planned at least until adolescence. Fifty cases of ZS in pediatric age have been reported in the literature up to now. Only 12/50 were diagnosed in the first year of life. The diagnosis was demanding, as the clinical presentation was unspecific and the results at imaging studies needed a differential diagnosis with other retrovesical masses. More than 80% of these cases were asymptomatic at long-term follow-up. Therefore, a conservative management of ZS has been accepted for asymptomatic or poorly symptomatic patients, with occasional, transient, and unspecific symptoms, such as urinary tract infections or orchyepididimytis. As the surgical management is challenging, it is proposed only in those symptomatic patients. In conclusion, ZS is rare in pediatric age. However, it should be considered in the differential diagnosis of cystic masses within the pelvis in males with ipsilateral renal anomalies. A conservative treatment with a long-term follow-up is a safe option in the management of asymptomatic or poorly symptomatic patients, thus reserving the surgical approach only in those cases with symptoms.

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Section: Literature Review and Discussionmentioning

confidence: 99%

Zinner Syndrome in Pediatric Age: Issues in the Diagnosis and Treatment of a Rare Malformation Complex

et al. 2019

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“…The treatment of Zinner syndrome depends on the size of the cyst and clinical symptoms of the patient. Asymptomatic cysts are usually treated with conservative therapy or periodic follow‐ups, according to the reviews (Ahallal et al, ; Jarzemski, Listopadzki, & Kowalski, ), such as type I and II cysts. The indications for surgery of a seminal vesicle cyst are as follows: (a) clinical symptoms caused by a seminal vesicle cyst and (b) infertility caused by the obstruction of the ejaculatory duct.…”

Section: Discussionmentioning

confidence: 99%

Classifying seminal vesicle cysts in the diagnosis and treatment of Zinner syndrome: A report of six cases and review of available literature

Tan

Zhang

et al. 2019

Andrologia

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This study aims to emphasise the importance of imaging in the diagnosis and treatment decision‐making in Zinner syndrome and provide a classification for seminal vesicle cysts. The data of six patients with Zinner syndrome in a single institution were collected. All patients underwent a contrast‐enhanced computed tomography (CT) exam. Among these patients, five patients also underwent an magnetic resonance imaging (MRI). These results were combined with the review of available literature to classify the seminal vesicle cysts. Among these patients, two patients had urinary urgency and frequency, while four patients had no urinary symptoms. No reproductive‐system symptoms were revealed. The imaging revealed left‐sided involvement in two patients and right‐sided involvement in four patients. The associated features included ipsilateral renal agenesis, seminal vesicle cyst or agenesis, and ejaculatory duct obstruction. Either an ipsilateral ureterocele or an ipsilateral small testis was noted. The seminal vesicle cysts demonstrated varying attenuation or intensity in the imaging. Imaging (CT and especially MRI) can be critical in the noninvasive diagnosis of Zinner syndrome and in allowing aberrant anatomy to be displayed for possible surgery. The proposed seminal vesicle cyst imaging classification could potentially contribute to clinical decision‐making.

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“…La majorité des kystes sont de petite taille (<5cm), asymptomatiques et changeant rarement d’évolution au cours du suivi à long terme [ 7 ]. Lorsqu’ils sont symptomatiques, les signes cliniques de découverte peuvent être des douleurs périnéales, une éjaculation douloureuse, une hémospermie, une infertilité, [ 8 , 9 ] des symptômes du bas appareil urinaire [ 10 ] ou des infections génito-urinaires [ 11 , 12 ]. Les kystes volumineux peuvent être palpables dans la région hypogastrique, par contre les petits ne sont accessibles à l’examen physique que par le toucher rectal [ 13 ].…”

Section: Discussionunclassified

Kyste de la vésicule séminale: à propos d’un cas

Bakloul¹,

Jakhlal²,

Elghazoui³

et al. 2016

Pan Afr Med J

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Nous rapportons le cas d’un patient présentant un kyste de la vésicule séminale droite symptomatique. Au terme du bilan (échographie pelvienne et endo-rectale, tomodensitométrie abdomino-pelvienne et l’imagerie par résonance magnétique), le patient était opéré et bénéficiait d’une ablation du kyste. A la lumière de cette observation, l’épidémiologie, le diagnostic et les options thérapeutiques sont discutés.

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Conservative Management of a Congenital Seminal Vesicle Cyst Associated with Ipsilateral Renal Agenesis Revealed by Cystitis: One Case Report

Cited by 8 publications

References 6 publications

Zinner Syndrome in Pediatric Age: Issues in the Diagnosis and Treatment of a Rare Malformation Complex

Zinner Syndrome in Pediatric Age: Issues in the Diagnosis and Treatment of a Rare Malformation Complex

Classifying seminal vesicle cysts in the diagnosis and treatment of Zinner syndrome: A report of six cases and review of available literature

Kyste de la vésicule séminale: à propos d’un cas

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