The infected urachal cyst: primary excision versus a staged approach.
OBJECTIVE
We compared outcomes following single or 2-stage repair of infected urachal cysts in the pediatric population.


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.
Minevich
E
E
Division of Pediatric Urology, Children's Hospital Medical Center, University of Cincinnati, Ohio, USA.
Wacksman
J
J
Lewis
A G
AG
Bukowski
T P
TP
Sheldon
C A
CA
D000038:Abscess / Q000150:complications* / Q000601:surgery*; D000293:Adolescent; D000465:Algorithms; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D013514:Surgical Procedures, Operative / Q000379:methods; D014496:Urachal Cyst / Q000150:complications / Q000382:microbiology* / Q000601:surgery*