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Archivos Espanoles de Urologia Apr 2017The present study analyzes cases of urachal abnormalities treated with laparoscopic approach in our hospital.
INTRODUCTION
The present study analyzes cases of urachal abnormalities treated with laparoscopic approach in our hospital.
CASE DESCRIPTION
A retrospective descriptive study of urachal disorders with laparoscopic surgery approach performed at our hospital in the period 1999-2015. Patients' clinical data are presented (radiological findings, surgical data, pathology findings, complications and a follow-up of each patient).
RESULTS
7 Adults presented complicated urachal disorders treated laparoscopically. The average age was 43.1 years old (DE ±11). The mean surgical time of laparoscopic management was 154.2 minutes (range 120-240). Mean hospital stay was 4.9 days (DE ±1.1). There were no early or late postoperative complications.
CONCLUSION
Laparoscopic removal of urachal remnants is a safe and reproducible technique.
Topics: Adenocarcinoma; Adolescent; Adult; Humans; Laparoscopy; Middle Aged; Retrospective Studies; Urachal Cyst; Urinary Bladder Neoplasms; Urologic Surgical Procedures
PubMed: 28422038
DOI: No ID Found -
Journal of Endourology Case Reports 2017Urachal cysts (UCs) are secondary to incomplete obliteration of the embryonic urachal duct and may become symptomatic when infected. Treatment is primarily surgical to...
Urachal cysts (UCs) are secondary to incomplete obliteration of the embryonic urachal duct and may become symptomatic when infected. Treatment is primarily surgical to excise the infected cyst. Surgical approaches include a lower midline laparotomy or minimally invasive (MI) techniques. We present a case of a young male with an infected UC that was treated with a single-incision laparoscopy surgery. The operative technique is described. This approach is a safe and feasible option for the MI management of UCs.
PubMed: 28164161
DOI: 10.1089/cren.2016.0129 -
APSP Journal of Case Reports 2017
PubMed: 28164005
DOI: 10.21699/ajcr.v8i1.477 -
Central European Journal of Urology 2016
PubMed: 28127464
DOI: 10.5173/ceju.2016.855 -
Chinese Journal of Cancer Jan 2017The clinical features of 17 patients with benign urachal masses and 30 patients with urachal carcinoma treated at Sun Yat-sen University Cancer Center were analyzed... (Comparative Study)
Comparative Study
The clinical features of 17 patients with benign urachal masses and 30 patients with urachal carcinoma treated at Sun Yat-sen University Cancer Center were analyzed retrospectively. Univariate analysis indicated that seven parameters differed significantly between the two groups. Binary logistic regression analyses showed that the rate of gross hematuria was significantly higher (P = 0.042, Exp[B] = 7.889) and the rate of fatty infiltration of the Retzius space was significantly lower (P = 0.006, Exp[B] = 0.028) in patients with urachal carcinoma than in those with benign urachal masses. Gross hematuria and fatty infiltration of the Retzius space may be indications of malignant and benign urachal masses, respectively.
Topics: Adult; Aged; Diagnosis, Differential; Female; Hematuria; Humans; Logistic Models; Male; Middle Aged; Retrospective Studies; Urachal Cyst; Urachus; Urinary Bladder Neoplasms; Young Adult
PubMed: 28061801
DOI: 10.1186/s40880-016-0173-4 -
The New England Journal of Medicine Dec 2016
Topics: Arnold-Chiari Malformation; Escherichia coli; Escherichia coli Infections; Female; Humans; Infant; Leukocyte Count; Meningomyelocele; Staphylococcal Infections; Staphylococcus; Suppuration; Urachal Cyst
PubMed: 28029928
DOI: 10.1056/NEJMicm1601380 -
Case Reports in Surgery 2016. A patent urachus is a rare congenital or acquired pathology, which can lead to complications later in life. We describe a case of urachal cystitis as the etiology of...
. A patent urachus is a rare congenital or acquired pathology, which can lead to complications later in life. We describe a case of urachal cystitis as the etiology of small bowel obstruction in an adult without prior intra-abdominal surgery. . A 64-year-old male presented to the acute care surgery team with a 5-day history of right lower quadrant abdominal pain, distention, nausea, and vomiting. He had a two-month history of urinary retention and his past medical history was significant for benign prostate hyperplasia. On exam, he had evidence of small bowel obstruction. Computed tomography revealed high-grade small bowel obstruction secondary to presumed ruptured appendicitis. In the operating room, an infected urachal cyst was identified with adhesions to the proximal ileum. After lysis of adhesions and resection of the cyst, the patient was subsequently discharged without further issues. . Although rare, urachal pathology should be considered in the differential diagnosis when evaluating a patient with small bowel obstruction without prior intraabdominal surgery, hernia, or malignancy.
PubMed: 27900227
DOI: 10.1155/2016/3247087 -
Translational Pediatrics Oct 2016The urachus and the urachal remnants represent a failure in the obliteration of the allantois at birth that connects the bladder to the umbilicus. After birth it...
BACKGROUND
The urachus and the urachal remnants represent a failure in the obliteration of the allantois at birth that connects the bladder to the umbilicus. After birth it obliterates and presents as the midline umbilical ligament. Urachal cyst are the most common urachal anomaly in the pediatric population. The traditional surgical approach is a semicircular infraumbilical incision or a lower midline laparotomy.
METHODS
In a 10 years period at Pediatric Surgery Department of Vicenza 16 children were diagnosed with urachal anomalies presenting as abdominal or urinary symptoms. Eight underwent open excision; eight were treated by laparoscopic surgery. The average age was 5.5 years (range, 4 months-13 years) in open group and 10 years (range, 1 month-18 years) in laparoscopic group.
RESULTS
Mean operative time was 63 minutes (range, 35-105 minutes) in open group, 50 minutes (range, 35-90 minutes) in laparoscopic group. There were no postoperative complications. The patients of laparoscopic group were all discharged after few days (range, 2-4 days). Pathological examination confirmed a benign urachal remnant in all cases. Reporting our experience since comparing the two surgical approaches we want to describe the technique step by step of laparoscopic urachal cyst excision as minimally invasive diagnostic and surgical techniques.
CONCLUSIONS
Laparoscopy represents a useful alternative for the management of persistent or infected urachus, in particular when there's the suspect despite the lack of radiological evidence. The morbidity associated with this approach is very low as the risk or recurrence. Laparoscopy in the management of urachal cyst is safe effective and ensures good cosmesis with all the advantages of minimally invasive approach.
PubMed: 27867852
DOI: 10.21037/tp.2016.09.10 -
Journal of Clinical and Diagnostic... Sep 2016Patients with umbilical disorders who present with complaints of a mass, pain, tenderness or discharge will typically have a differential diagnosis including umbilical...
Patients with umbilical disorders who present with complaints of a mass, pain, tenderness or discharge will typically have a differential diagnosis including umbilical hernias, pyogenic granuloma, endometriosis, Sister Mary Joseph nodule and urachal or epidermoid cysts. We would add the inclusion of pilonidal sinus disease and present the case of a patient with an umbilical pilonidal cyst. The use of a cryocone with lubricating jelly, in this case, proved to be an easy and convenient method that aided in visualization and diagnosis of this fairly uncommon condition.
PubMed: 27790475
DOI: 10.7860/JCDR/2016/22235.8484 -
Journal of Endourology Case Reports 2016Urachal remnants are a group of rare anatomical anomalies that include cysts, diverticula, and tumors. We present a case of a young female patient with dyspareunia and...
BACKGROUND
Urachal remnants are a group of rare anatomical anomalies that include cysts, diverticula, and tumors. We present a case of a young female patient with dyspareunia and dysorgasmia related to a urachal cyst.
CASE
A patient with unique presentation of urachal cyst treated robotically. Patient had complete resolution of symptoms postoperatively.
CONCLUSION
Robot-assisted excision of the urachal remnant provided durable symptom relief.
PubMed: 27579400
DOI: 10.1089/cren.2015.0029