title: Management of Zinner's Syndrome Associated with Contralateral Seminal Vesicle Hypoplasia: A Case Report.
abstract: A 27-year-old man presented with chronic hematospermia, painful ejaculation, and primary infertility. Physical examination, transrectal ultrasonography, and pelvic magnetic resonance imaging (MRI) demonstrated left seminal vesicle cyst, left renal agenesia, and contralateral seminal vesicle hypoplasia. Hormone workup (LH, FSH, prolactin, and testosterone) was normal. Sperm analysis showed oligoasthenozoospermia and low ejaculate volume. We performed transurethral resection of the ejaculatory duct (TUR-ED) using methylene blue vasography guidance without surgical-related complications. Hematospermia and painful ejaculation completely improved at 2-month followup, and the patient's wife experienced a missed abortion thereafter. This patient was considered as a rare variant of Zinner's syndrome and was managed effectively with a less invasive treatment modality (TUR-ED).
authors: Urology and Nephrology Research Center (UNRC), Shahid Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences (SBMU), No. 103, 9th Boustan, Pasdaran, Tehran 1666697751, Iran.
authors: Mehdi
authors: M
authors: Kardoust Parizi
authors: Nasser
authors: N
authors: Shakhssalim
references: Minerva Urol Nefrol. 1999 Mar;51(1):27-31
references: 10222758
references: Eur Urol. 1998;33(5):433-40
references: 9643661
references: AJR Am J Roentgenol. 2007 Jul;189(1):130-5
references: 17579162
references: Yonsei Med J. 2009 Aug 31;50(4):560-3
references: 19718406
references: Hum Reprod. 2001 Feb;16(2):282-8
references: 11157821
references: World J Nucl Med. 2011 Jan;10(1):20-2
references: 22034579
references: J Urol. 1986 May;135(5):1029-32
references: 3959231
references: Hinyokika Kiyo. 2001 Mar;47(3):203-6
references: 11329965
references: AJR Am J Roentgenol. 2000 Jul;175(1):177-80
references: 10882270
references: Horm Res. 2007;67(3):142-51
references: 17077643
references: Andrologia. 2009 Oct;41(5):322-30
references: 19737281
references: J Ultrasound Med. 2003 Feb;22(2):225-8
references: 12562128
references: Kaohsiung J Med Sci. 2010 Jan;26(1):30-4
references: 20040470
references: Indian J Urol. 2010 Jul;26(3):444-7
references: 21116373