Ten Years of Experience With Isolated Urachal Anomalies in Children

Abstract

No AccessJournal of UrologyPotpourri1 Sep 1997Ten Years of Experience With Isolated Urachal Anomalies in Children Hrair-George O. Mesrobian, Alex Zacharias, Anthony H. Balcom, and Roger D. Cohen Hrair-George O. MesrobianHrair-George O. Mesrobian , Alex ZachariasAlex Zacharias , Anthony H. BalcomAnthony H. Balcom , and Roger D. CohenRoger D. Cohen View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)64465-3AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: The embryological and anatomical features of urachal anomalies have been well defined. Because of the variable clinical presentation, uniform guidelines for evaluation and treatment are lacking. In an attempt to establish a cost-effective approach leading to a favorable outcome, we reviewed the experience with urachal anomalies at a single institution in a 10-year period. Materials and Methods: We reviewed the medical records and radiological studies of 12 boys and 9 girls newborn to 17 years old at presentation who were treated for a urachal anomaly. Diagnostic evaluation included voiding cystourethrography in 14 cases, ultrasound in 8, sinography in 7 and computerized tomography in 4. Results: The 4 variants of urachal anomalies included a urachal sinus in 9 patients (43%), urachal cyst in 9 (43%), patent urachus in 2 (10%) and urachal diverticulum in 1 (4%). Treatment involved initial excision in 13 cases (61%) and secondary excision in 8 (39%). Staphylococcus aureus was the predominant organism recovered. Conclusions: Because of the variable presentation, the diagnosis of a urachal anomaly can be difficult. Our experience suggests that a cost-effective diagnostic approach can be developed based on the initial clinical evaluation. Whereas ultrasound is indicated when a urachal cyst or abscess is suspected on the initial study, sinography is the study of choice in the remainder of cases. A voiding cystourethrogram may not be required in view of the fact that none of the patients studied had an additional associated urinary tract anomaly. References 1 : Congenital patent urachus.. J. Urol.1958; 79: 264. Abstract, Google Scholar 2 : Congenital patent urachus.. N. Engl. J. Med.1936; 215: 193. Google Scholar 3 : The urachus, its anatomy and associated fasciae.. Anat. Rec.1941; 80: 271. Google Scholar 4 : Surgery for anomalies of the urachus.. J. Ped. Surg.1983; 18: 370. Google Scholar 5 : Patent urachus.. South Med. J.1937; 30: 711. Google Scholar 6 : Urachal anomalies and related umbilical disorders.. Urol. Clin. N. Amer.1978; 5: 195. Google Scholar 7 : Spontaneous rupture of a noninfected urachal cyst.. J. Ped Surg.1991; 26: 747. Google Scholar 8 : Umbilical granulomas, pilonidal disease, and the urachus.. Surg. Gynec. & Obst.1965; 120: 1043. Google Scholar From the Division of Pediatric Urology and Department of Pediatric Surgery, Children's Hospital and Medical College of Wisconsin, Milwaukee, Wisconsin.© 1997 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byCopp H, Wong I, Krishnan C, Malhotra S and Kennedy W (2009) Clinical Presentation and Urachal Remnant Pathology: Implications for TreatmentJournal of Urology, VOL. 182, NO. 4S, (1921-1924), Online publication date: 1-Oct-2009.Galati V, Donovan B, Ramji F, Campbell J, Kropp B and Frimberger D (2008) Management of Urachal Remnants in Early ChildhoodJournal of Urology, VOL. 180, NO. 4S, (1824-1827), Online publication date: 1-Oct-2008.Ashley R, Inman B, Routh J, Rohlinger A, Husmann D and Kramer S (2007) Urachal Anomalies: A Longitudinal Study of Urachal Remnants in Children and AdultsJournal of Urology, VOL. 178, NO. 4S, (1615-1618), Online publication date: 1-Oct-2007.Turial S, Hueckstaedt T, Schier F and Fahlenkamp D (2018) Laparoscopic Treatment of Urachal Remnants in ChildrenJournal of Urology, VOL. 177, NO. 5, (1864-1866), Online publication date: 1-May-2007.VAN DER BILT J, VAN ZALEN R, HEIJ H, BILARDO C and ARONSON D (2018) Prenatally Diagnosed Ruptured Vesico-allantoic Cyst Presenting as Patent Urachus at BirthJournal of Urology, VOL. 169, NO. 4, (1478-1479), Online publication date: 1-Apr-2003.CADEDDU J, BOYLE K, FABRIZIO M, SCHULAM P and KAVOUSSI L (2018) LAPAROSCOPIC MANAGEMENT OF URACHAL CYSTS IN ADULTHOODJournal of Urology, VOL. 164, NO. 5, (1526-1528), Online publication date: 1-Nov-2000. Volume 158Issue 3September 1997Page: 1316-1318 Advertisement Copyright & Permissions© 1997 by American Urological Association, Inc.MetricsAuthor Information Hrair-George O. Mesrobian More articles by this author Alex Zacharias More articles by this author Anthony H. Balcom More articles by this author Roger D. Cohen More articles by this author Expand All Advertisement PDF downloadLoading ...