Ten Years of Experience With Isolated Urachal Anomalies in Children

Mesrobian, Hrair-George O.; Zacharias, Alex; Balcom, Anthony H.; Cohen, Roger D.

doi:10.1016/s0022-5347(01)64465-3

Cited by 119 publications

(75 citation statements)

References 7 publications

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“…Cystoscopy done in all patients to rule out any bladder anamoly. All patients subjected to excision of tract with median umbilical ligament with removal of dome of bladder with preservation of umbelicus as in adult urachal remnants are associated with carcinoma [8], [9] .…”

Section: Discussionmentioning

confidence: 99%

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

Das¹

2017

JMSCR

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Section: Discussionmentioning

confidence: 99%

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

Das¹

2017

JMSCR

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“…Several authors perform a partial colpectomy, including the dome of the bladder to prevent malignant degeneration. However, we did not consider necessary this practice as the estimated risk of malignancy is lower than 0.1% [15] and other authors have reported favorable outcomes without resection of the bladder cuff in all the cases [16].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic management of urachal remnants in women affected of pelvic pain

Gilabert‐Estellés

Gilabert-Aguilar

2009

Gynecol Surg

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Symptomatic urachal cysts are very infrequently encountered in women affected of pelvic pain and uterine myomas. We report on two female patients aged 40 and 49 years, who underwent complete transperitoneal laparoscopic excision of urachal cysts at our unit. The first patient suffered from infertility and presented a uterine myoma, which was treated with laparoscopic myomectomy. The second case referred was menorrhagia and chronic pelvic pain, and she was treated with a total laparoscopic hysterectomy with complete excision of urachal cyst. All two operations had no serious immediate complications and minimal blood loss. Cysts were located at the lower third of the urachus, and no communication was detected between the cyst and the bladder. The bladder apex was reinforced using suturing in both cases, and a postoperative cystoscopy confirmed the integrity of the bladder wall. Patients were discharged uneventfully on the second postoperative day. In conclusion, complete excision of urachal remnants in women affected of pelvic pain is advisable in order to treat the symptoms and can be safely performed by a laparoscopic approach.

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“…According to Robert 20 , the obliteration of the urachus and its transformation to a thick fibrous structure occurs between the eighth and twelfth week of gestation, and during the fourth and fifth month of gestation according to Mesrobian 21 . Remnants include a patent urachus, urachal sinus, urachal cysts and urachal diverticulum 20,21 . Other authors have reported cases and studies of persistent urachal structures 22 -25 .…”

Section: Discussionmentioning

confidence: 99%