title: The infected urachal cyst: primary excision versus a staged approach.
abstract: 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.
authors.affiliation: Division of Pediatric Urology, Children's Hospital Medical Center, University of Cincinnati, Ohio, USA.
authors.forename: E
authors.initials: E
authors.lastname: Minevich
authors.forename: J
authors.initials: J
authors.lastname: Wacksman
authors.forename: A G
authors.initials: AG
authors.lastname: Lewis
authors.forename: T P
authors.initials: TP
authors.lastname: Bukowski
authors.forename: C A
authors.initials: CA
authors.lastname: Sheldon
mesh_terms: 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*