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Overview
Surgery 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 enters 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.
Review Date 1/1/2023
Updated by: Kelly L. Stratton, MD, FACS, Associate Professor, Department of Urology, University of Oklahoma Health Sciences Center, Oklahoma City, OK. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.