Аңдатпа
Patient: Male, 36-year-old Final Diagnosis: Other congenital malformations of other male genital organs (seminal vesicle cyst) • other congenital malformations of the vas deferens (obstruction or atresia) • unilateral renal agenesis (absence of one kidney) • Zinner syndrome Symptoms: Episodic perineal pain and a sensation of heaviness, particularly after ejaculation • long-standing intermittent dull pain in the left lumbar region • lower urinary tract symptoms • primary infertility Clinical Procedure: -Specialty: Urology Objective: Rare disease Background:Zinner syndrome is a rare congenital anomaly of the male genitourinary system, characterized by the classic triad of features: a seminal vesicle cyst, unilateral renal agenesis, and vas deferens obstruction.This article presents a clinical case of a 36-year-old patient with this rare condition and describes the results of his successful laparoscopic surgical treatment. Case Report:A 36-year-old man with a 2-year history of infertility and chronic pelvic pain received a diagnosis of Zinner syndrome, characterized by the triad of left renal agenesis, ipsilateral ureteral atresia, and a large seminal vesicle cyst.He underwent successful laparoscopic excision of the cyst.The cyst contents (approximately 120 mL of light-brown fluid) were aspirated, followed by meticulous enucleation.The cyst, remnant seminal vesicle tissue, and distal atretic ureter (3 cm) were completely resected.Histopathological examination confirmed a benign, multilocular cyst lined by columnar epithelium with glandular metaplasia and chronic inflammation, with no evidence of malignancy.The postoperative course was uneventful.At 3-month follow-up, the patient reported complete resolution of pain and normalized urination.Semen analysis showed significant improvement: ejaculate volume increased to 1.6 mL, sperm concentration to 1.4 × 10 7 /mL, and progressive motility to 35%, indicating partial recovery of ejaculatory function.The case demonstrates that laparoscopic surgery is an effective treatment for Zinner syndrome, alleviating symptoms and potentially improving fertility parameters. Conclusions:This case highlights the importance of timely recognition of Zinner syndrome, especially in patients with unilateral renal agenesis and pelvic pain, and demonstrates the effectiveness of the laparoscopic approach as a method of choice in the symptomatic course of this pathology.