Laparoscopic Radical Excision of Urachal Sinus

Abstract

Persistent urachus is a rare congenital anomaly. Various types of remnants have been described including cyst, alternating sinus, patent urachus, diverticulum, and sinus. The most common presenting symptom of urachal sinus is umbilical discharge. Radical excision of the remnant, with or without a bladder cuff, is essential to prevent future malignant degeneration or recurrence of the remnant. Although open surgical excision has been the treatment of choice for many years, the laparoscopic approach has become an attractive alternative because of its association with less postoperative pain, better cosmesis, and rapid convalescence. Laparoscopic radical excision of a urachal sinus was performed in a 16-year-old female patient who presented with umbilical discharge.

Umbilical-Urachus Sinus A variant of Patent Urachus Presentation With Management in Adults- A single Center Experience

“…Patients were followed for 24 months. Laparoscopic approach for resection of the urachus was first introduced by Trondsen et al [10] . Since then some other teams have published their series of a laparoscopic approach [11], [12] .…”

An unusual presentation of infected urachal cyst in an adult

“…However, Yoo et al [4] in their study suggested a two-stage procedure involving initial incision and drainage followed by later excision of the urachal remnant. Complete excision is important because malignant transformation of the remnant is possible [8]. Traditionally, open excision has been the approach of choice.…”

Ruptured remnant of urachal diverticulum: an unusual cause of congenital urinary ascites

“…Although the incidence of urachal carcinoma accounts for less than 1% of bladder malignancies, it is associated with poor prognosis. Urachal remnants excision in childhood is advocated, 7 while some investigators 8,9 suggest close follow-up for asymptomatic young patients.…”