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Patent urachus repair - series—Indications



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 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.

Review Date 10/9/2012

Updated by: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Louis S. Liou, MD, PhD, Chief of Urology, Cambridge Health Alliance, Visiting Assistant Professor of Surgery, Harvard Medical School. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.

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