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The infected urachal cyst: primary excision versus a staged approach
E Minevich1, J Wacksman, A G Lewis
1Division of Pediatric Urology, Children's Hospital Medical Center, University of Cincinnati, Ohio, USA.
Purpose:
We compared outcomes following single or 2-stage repair of infected urachal cysts in the pediatric population.
Materials And Methods:
We reviewed the records of 17 patients 1 day to 14 years old (median age 22 months) with a urachal cyst. Immediate cyst excision was performed in 6 patients without infection, while those with an abscess underwent single or 2-stage repair.
Results:
Median postoperative hospital stay for the urachal abscess group was 14 and 11.5 days for single and 2-stage procedures, respectively. After immediate excision postoperative complications developed in each case, although none occurred with a 2-stage approach.
Conclusions:
In the absence of infection, urachal cyst excision affords the most benign postoperative course. However, when infection is present, perioperative drainage with subsequent total excision, including a cuff of bladder, may offer the most effective surgical option.