title: Endourologic Intervention for Management of Infertility in a Man with Zinner Syndrome Resulting in a Natural Pregnancy.
abstract: BACKGROUND
  Ipsilateral renal agenesis associated with seminal vesicular cysts is an uncommon finding. Zinner syndrome is a rare variant of wolffian duct anomalies with a triad of seminal vesicle cyst, ipsilateral renal agenesis, and male fertility problems due to ejaculatory duct obstruction (EDO).
  
  
  METHODS
  A 28-year-old man with 6 years history of primary infertility presented with left-side lower abdominal pain. A palpable cystic mass was found on digital rectal examination. Semen analysis revealed low volume ejaculate azoospermia. Abdominal ultrasonography revealed a single right kidney and transrectal ultrasonography showed an evidence of left EDO. Transurethral resection of the ejaculatory duct was performed. Semen analysis after 2 weeks showed normal sperm count (23M) and acceptable progressive motility (24%). Eight weeks later, his wife was pregnant with a 7-week viable fetus.
  
  
  CONCLUSIONS
  Although not a common disease, a careful physical examination and thorough semen analysis interpretation should guide clinicians to diagnose a surgically treatable syndromic cause of male infertility.
authors: Urology Unit, Department of Surgery, School of Medicine, University of Sulaimani , Sulaimani, Iraq .
authors: Ismaeel
authors: I
authors: Aghaways
authors: Urology Unit, Department of Surgery, School of Medicine, University of Sulaimani , Sulaimani, Iraq .
authors: Shyaw M
authors: SM
authors: Ahmed