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The condition occurs three times more often in male infants than in females.
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When is a patent urachus repair needed?
A patent urachus is an anomaly, and repair is recommended for these defects occurring at birth.
What is the typical hospital stay for patent urachus removal?
Surgery for patent urachus repair may require several days' hospitalization, during which infants can be fed as normal.
What is patent urachus repair?
surgery to correct a urachus (a tube that connects the fetal bladder to the umbilical cord) that fails to close after birth.
What risks are associated with patent urachus repair?
Risks are the same as for those patients receiving any anesthesia: a reaction to medication and/or breathing problems. There is also the risk of bladder infection or bladder leaks.
Patent urachus repair - series?
Normal anatomyThe urachus is a tube that connects the bladder to the umbilicus during fetal development. After birth, the urachus normally closes and becomes a ligament.IndicationsSurgery is recommended for a patent urachus that does not close after birth. There is some variablity in the degree of the defect. Sometimes, only the umbilical end of the urachus fails to close, generating a urachal sinus, which does not connect with the bladder, but simply eneters the skin for a short distance. These can usually be excised locally. If the entire urachus is patent all the way to the bladder, the urachus must be excised and the bladder closed.IncisionWhile the infant is deep asleep and pain-free (using general anesthesia), an incision is made in the lower abdomen, below the umbilicus.ProcedureThe urachus is located and removed from the umbilicus and the bladder. The bladder opening is repaired, and the incision is closed.AftercareThe outcome is usually excellent. The infant can be fed normally and should recover rapidly. A few days of hospitalization is all that is usually required.Reviewed ByReview Date: 09/03/2010David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and Scott Miller, MD, Urologist in private practice in Atlanta, Georgia. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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