Laparoscopic Excision of a Patent Urachus

  • K. Senthil
  • M. Ramalingam

The urachus extends from the anterior dome of the bladder to the umbilicus. It has three distinct layers. Incomplete obliteration of the urachus manifests in various forms (e.g., urachal cyst, urachal sinus, urachal diverticulum, and patent urachal fistula. Symptomatic urachal cyst and patent urachal fistula warrant surgical excision and can be accomplished laparoscopically [1,2]. Simple drainage of a urachal cyst is associated with recurrent infections and even late occurrence of an adenocarcinoma.


Recurrent Fistula Late Occurrence Omental Patch Laparoscopic Excision Urachal Cyst 
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  1. 1.
    Feigel M, Thalmann C (1996) Laparoscopic excision of a urachus umbilical fistula. Chirurg 67(8):856–857.PubMedCrossRefGoogle Scholar
  2. 2.
    Khurana S, Borzi PA (2002) Laparoscopic management of complicated urachal disease in children. J Urol 168(4 pt 1):1526–1528.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2009

Authors and Affiliations

  • K. Senthil
    • 1
  • M. Ramalingam
    • 2
  1. 1.Gowtham AnnexeCoimbatoreIndia
  2. 2.K.G. Hospital and Post Graduate InstituteG. Kuppusamy Naidu Memorial HospitalCoimbatoreIndia

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