Prune-Belly Syndrome (PBS) is a rare condition characterized by a triad of symptoms including abdominal laxity, variable urinary tract dilation, and cryptorchidism. This study presents the clinical case of a 20-year-old patient diagnosed with PBS, showing bilateral scrotal emptiness, bilateral pyelonephrosis, and abdominal wall abnormalities. Complementary tests, including urogenital ultrasounds and a uro-CT scan, revealed typical features of the syndrome. Conservative management was chosen due to the absence of severe urinary infections, renal dysplasia, and financial constraints for more complex surgical interventions. This approach aimed to address the patient's aesthetic and psychological needs while considering economic realities. Continuous monitoring was recommended to prevent future complications.