Laparoscopic Umbilicus-Sparing Excision of Symptomatic Patent Urachus in Adulthood: Case Report and a Review of the Literature
Omar Varela Barraza, Ernesto Dávila Legorreta, Lucero Huerta Hernandez, Antonio Esqueda-Mendoza, Irma L Maldonado Barrios, Mariana Gutiérrez Neri Pérez, Martha E Gutiérrez Brambila

TL;DR
A 45-year-old man with a persistent urachal issue was successfully treated with a laparoscopic surgery that preserved the umbilicus.
Contribution
This case report presents a laparoscopic umbilicus-sparing excision technique for treating patent urachus in adulthood.
Findings
Laparoscopic umbilicus-sparing excision effectively treated a symptomatic patent urachus in an adult.
The patient experienced relief from urinary tract infections, pain, and discharge after the procedure.
Abstract
Urachal abnormalities are infrequent pathologies characterized by the failure of obliteration of the urachal canal, resulting in a persistent fibrous cord. The initial diagnosis approach can be done with ultrasonography; however, computed tomography is considered a standard diagnostic method. The preferred method for relieving symptoms and reducing recurrence is surgical excision. This is a case of a 45-year-old man with recurrent urinary tract infections, suprapubic pain, and umbilical fetid discharge who underwent laparoscopic umbilicus-sparing excision.
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Taxonomy
TopicsUrinary and Genital Oncology Studies · Urological Disorders and Treatments
