506 Large Seminal Vesicle Cyst Displacing Bladder into Inguinal Hernia – a First of Its Kind

Aim Following one of the first cases of Zinner syndrome associated with inguinal hernia, aim to review existing evidence and literature for treatment around this, especially non-surgical treatment. Patient A 68-year-old male who was investigated for raised PSA. As part of the work up, he was found to have an incidental finding of right inguinal hernia associated with a large contralateral seminal vesicle cyst and an absent kidney. Results For surgical candidates, we would recommend open hernia repair. Bladder resection is rarely indicated. For non-surgical candidates, there is no consensus on how to treat their condition. Conclusions The patient was treated conservatively with an alpha blocker to manage outflow obstruction. Further non-surgical treatment could involve a 5 alpha reductase inhibitor or catheterisation. Further research is needed.