Robotic-assisted management of Zinner syndrome: a case report and review of the surgical approach

Zinner syndrome typically presents in young adulthood with nonspecific symptoms, making diagnosis challenging. A 21-year-old male presented with pelvic and lower abdominal pain. Imaging revealed a right seminal vesicle cyst measuring 8.2 × 6.4 × 5.1 cm and ipsilateral renal agenesis. The patient underwent robotic excision of the right seminal vesicle cyst with complete excision of a cyst containing 150 cc of fluid without complications, preserving adjacent anatomical structures. The precision and minimal invasiveness of this approach lead to optimal outcomes in treating this condition. Early recognition and surgical intervention are crucial for symptom resolution and improved quality of life.