Robot-assisted radical prostatectomy in a patient with Zinner syndrome

Abstract

INTRODUCTION AND IMPORTANCE: To our knowledge, this is the first reported case of Robot-Assisted Radical Prostatectomy (RARP) in a patient with Zinner syndrome, a rare congenital condition characterized by unilateral renal agenesis, seminal vesicle cysts, and ejaculatory duct obstruction. CASE PRESENTATION: A 64-year-old male with elevated PSA was diagnosed with low-risk prostate cancer. Preoperative imaging confirmed Zinner syndrome, posing unique anatomical challenges. The procedure was successfully performed using the Da Vinci robotic system, allowing precise removal of the prostate, non-functioning kidney, and dilated ureter from the standard port setting without changing the patient's position. The surgery was completed with minimal complications, and the patient recovered well. CLINICAL DISCUSSION: The anatomical anomalies associated with Zinner syndrome complicate standard surgical approaches. Robotic-assisted techniques provide enhanced visualization and precision, facilitating safe and effective management of these cases. CONCLUSION: This urological procedure can be safely and efficiently performed on patients with Zinner Syndrome and synchronous prostate cancer by urological surgeons with extensive experience in robotic surgery in high-volume centers.