How do you treat an urachal cyst?
The treatment of urachal cysts involves primary excision of the cyst. However, the traditional treatment of an infected urachal cyst is composed of a two-stage approach, i.e., an incision and then drainage of the infected cyst followed by secondary excision.
Does a urachal cyst need to be removed?
In most cases, urachal cysts are not associated with any signs or symptoms unless there are complications such as infection. There are instances where urachal abnormalities resolve on their own. Because there is a small risk of urachal cancer , the entire urachus may be surgically removed.
What are infected urachal cyst?
The urachus is an embryologic remnant which degenerates after the birth. Defective obliteration of the urachus leads to urachal abnormalities. An infected urachal cyst is one of the urachal abnormalities and this pathology is rare in adult women.
How is urachus patent treated?
The most common surgical therapy for patent urachus is complete excision, with or without excision of the bladder dome. Low complication rates have been reported, with the most common complication being wound infection. Recently, laparoscopic excision has been described as an alternative therapeutic approach.
How is a urachal cyst diagnosed?
The presence of a urachal cyst is confirmed through imaging techniques like ultrasounds, magnetic resonance imaging (MRI), and computed tomography (CT) scans. These scans allow healthcare providers to determine whether a cyst is present and problematic.
Can a urachal cyst rupture?
The most common urachal abnormality is the urachal cyst and, while intraperitoneal rupture of an infected urachal cyst is very rare, acute peritonitis resulting from intraperitoneal rupture is the most dangerous of all complications associated with urachal anomalies.
What does a urachal cyst feel like?
The symptoms of an urachal cyst are usually painless, but there may be discomfort with bowel movements or difficulty emptying the bladder. Urinary tract infections are common and some people have had surgery to remove this type of tumor because it was causing problems with their urinary system or other organs.
How long does urachal cyst surgery take?
Mean operative time was 180 minutes (range 150 to 210) and average hospital stay was 2.75 days (range 1 to 4). Pathological evaluation confirmed a benign urachal remnant in each case. All patients resumed normal activity within 2 weeks.
What causes urachal diverticulum?
This occurs when the urachus did not seal close to the bladder and leads to a blind ending tract from the bladder into the urachus called a diverticulum. These also can be asymptomatic or present with a urinary tract infection.
What happens to urachus after birth?
The urachus has no purpose after birth, so if it remains it can cause health problems. These problems are called “urachal abnormalities.” Problems with a urachal abnormality are rare. They can be seen in infants or children, and rarely in adults.
How common are urachal cysts?
It arises from the incomplete obliteration of urachus, which is a primitive structure that connects the umbilical cord to the fetal bladder . The incidence of urachal cyst is one in 5,000 live births .
What are urachal remnants?
A urachal remnant is a rare congenital disorder (a condition that’s present at birth) which may go undiagnosed unless there are symptoms. Symptoms can be nonspecific such as abdominal pain or urinary tract infection.
What is the treatment for Urachal cysts?
Treatment of infected urachal cysts The urachus is a fibrous cord that arises from the anterior bladder wall and extends cranially to the umbilicus. Traditionally, infection has been treated using a two-stage procedure that includes an initial incision and drainage which is then followed by elective excision.
What is the pathophysiology of infection in Urachal cysts?
The luminal wall of a urachal cyst is composed of transitional epithelium, and infection may occur due to the accumulation of materials within the cyst. Infected urachal cysts can disseminate infection by hematogenous or lympatic spread or through direct invasion of the bladder and umbilicus.
Is a single-stage treatment for Urachal cysts safe and effective?
However, the traditional treatment of an infected urachal cyst is composed of a two-stage approach, i.e., an incision and then drainage of the infected cyst followed by secondary excision.2-4Recently, Newman et al.9suggested that with the advent of improved antimicrobials and earlier detection, a single-stage procedure can be safely accomplished.
What is the long-term outlook for A urachal cyst?
The long-term outlook (prognosis) for a urachal cyst is generally good. In most cases, urachal cysts are not associated with any signs or symptoms unless there are complications such as infection. There are instances where urachal abnormalities resolve on their own.