Patent urachus repair
Alternative Names: Patent urachal tube repair
Patent urachus repair is surgery to repair a bladder defect. In an open (or patent) urachus, there is an opening between the bladder and the umbilicus. This opening almost always closes before birth. An open urachus occurs mostly in infants.
Description of Procedure
Children who have this surgery will receive general anesthesia (they are asleep and pain-free).
The surgeon will make a surgical cut in the child's lower belly. Next, the surgeon will find the urachal tube and remove it. The bladder opening will be repaired, and the cut will be closed.
The surgery can also be done with a laparoscope, an instrument that has a tiny camera and light on the end.
- The surgeon will make three small surgical cuts in the child's belly. The surgeon will insert the laparoscope through one of these cuts and other tools through the other cuts.
- The surgeon uses the tools to remove the urachal tube and close off the bladder and area where the tube connects to the umbilicus.
This surgery can be done in children as young as 6 months.
Risks of Patent urachus repair
Risks for any anesthesia are:
- Reactions to medicines
- Breathing problems
Risks for any surgery are:
- Bleeding
- Infection
- Blood clots in the legs that may travel to the lungs
Additional risks for this surgery are:
- Bladder infection
- Bladder leaks -- if this happens, a catheter (thin tube) is inserted into the bladder to drain urine. It is left in place until the bladder heals
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Reviewed By: David 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.
Copyright 2011 A.D.A.M., Inc.
