Laparoscopic resection of urachal fistula.

PURPOSE: Persisting urachal fistula is a rare condition in adults.

METHODS

Data and outcome in 29 patients who were surgically treated for persisting urachal fistula using laparoscopic technique between January 1, 2006 and December 31, 2009 were retrospectively analyzed.

RESULTS

Persisting urachal fistula could be diagnosed in all patients by clinical examination and ultrasound. Laparoscopic resection was possible in all patients. In 2 individuals (6.8%) the fistula recurred, but could be surgically treated using laparoscopic technique. In 1 patient (3.4%) wound healing complications were observed.

CONCLUSIONS

Clinical examination and ultrasound are generally sufficient for diagnosing persisting urachal fistula. Laparoscopic urachal fistula resection is a safe and effective technique and should thus be taken as a standard procedure.