Patent urachus repair is surgery to repair a bladder defect. In an open (or patent) urachus, there is an opening between the bladder and the belly button (navel). This opening almost always closes before birth. An open urachus occurs mostly in infants.
Bladder leaks -- if this happens, a catheter (thin tube) is inserted into the bladder to drain urine. It is left in place until the bladder heals
Before the Procedure
The surgeon may ask for your child to have:
A complete medical history and physical exam
Sinogram of the urachus. In this procedure, a radio-opaque dye called contrast is injected into the urachal opening and x-rays are taken.
Ultrasound of the urachus
VCUG (voiding cystourethrogram), a special x-ray to make sure the bladder is working
Always tell your child's doctor or nurse:
What drugs your child is taking. Include drugs, herbs, vitamins, or any other supplements you bought without a prescription.
About any allergies your child may have to medicine, latex, tape, or skin cleaner.
During the days before the surgery:
About 10 days before the surgery, you may be asked to stop giving your child aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), warfarin (Coumadin), and any other drugs that make it hard for blood to clot.
Ask the doctor which drugs your child should still take on the day of the surgery.
On the day of the surgery:
Your child will probably not be able to drink or eat anything for 4 - 8 hours before surgery.
Give your child any drugs the doctor said your child should have with a small sip of water.
Your child's doctor or nurse will tell you when to arrive at the hospital.
The doctor will make sure your child has no signs of illness before surgery. If your child is ill, the surgery may be delayed.
After the Procedure
Most children stay in the hospital for just a few days after this surgery. Most recover rapidly. Children can eat their normal foods once they start eating again.
Before leaving the hospital, the nurse should teach you how to care for the wound or wounds. If Steri-Strips were used to close the wound, they should be left in place until they fall off on their own in about a week.
The doctor may give you a prescription for antibiotics to prevent infection and recommend safe medicine to use for pain.
David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Louis S. Liou, MD, PhD, Chief of Urology, Cambridge Health Alliance, Visiting Assistant Professor of Surgery, Harvard Medical School. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.