Related Experiment Videos
Urachal abnormalities in adults: the Ochsner experience
W H Risher1, A Sardi, J Bolton
1Department of Surgery, Ochsner Clinic, New Orleans, La 70121.
Southern Medical Journal
|September 1, 1990
Summary
Urachal abnormalities are rare in adults, presenting as lower midline lesions. Surgical treatment for these anomalies in adults yielded successful outcomes with no complications.
Area of Science:
- Urology
- Surgical Pathology
Background:
- Urachal abnormalities are typically diagnosed in infancy.
- In adults, these anomalies can manifest as lower midline lesions.
- Five classifications of urachal abnormalities exist: patent urachus, urachal sinus, vesicourachal diverticulum, urachal cyst, and alternating sinus.
Purpose of the Study:
- To investigate the incidence and characteristics of urachal abnormalities in adults.
- To evaluate the efficacy of surgical management for adult urachal anomalies.
Main Methods:
- Retrospective review of medical records from Ochsner Medical Institutions (1957-1988).
- Identification of patients with urachal anomalies.
- Pathologic examination for all documented cases.
- Surgical treatment for all identified patients.
Main Results:
- Forty-one patients with urachal anomalies were identified.
- Eleven of these patients were adults (older than 17 years).
- All adult patients underwent surgical treatment.
Conclusions:
- Urachal abnormalities, though rare, can occur in adults.
- Surgical intervention for adult urachal anomalies is effective and safe.
- No morbidity or mortality was observed following surgical treatment.