Urachal fistula

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Urachal fistula
Specialty Urology

A urachal fistula is a congenital disorder caused by the persistence of the allantois (later, urachus), the structure that connects an embryo's bladder to the yolk sac. Normally, the urachus closes off to become the median umbilical ligament; however, if it remains open, urine can drain from the bladder to an opening by the umbilicus. [1]

This condition is a rare defect, mostly found in children, and is also known as an open or patent urachus. [2] [3]

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<span class="mw-page-title-main">Vesicouterine fistula</span> Abnormal communication between the bladder and uterus

Vesicouterine fistula refers to an abnormal communication between the bladder and uterus. The first case of vesicouterine fistula was reported in 1908. It was however first described in 1957 by Abdel Fattah Youssef, an obstetrician and gynaecologist in Kasr el-Aini hospital, Cairo, Egypt. It is characterized by a vesicouterine fistula above the level of the internal os, absence of menstrual bleeding, cyclical presence of blood in urine and absence of urinary incontinence with a patent cervical canal following a lower segment caesarean section. Six of such cases had been reported by other clinicians before the term Menouria was coined by Youssef.

References

  1. Sadler, Thomas W. (2011-12-15). Langman's Medical Embryology. Lippincott Williams & Wilkins. ISBN   9781451113426.
  2. "Patent urachus repair". MedlinePlus.
  3. Hassan, Shadwa; Koshy, June; Sidlow, Richard; Leader, Hadassa; Horowitz, Mark (2017). "To excise or not to excise infected urachal cysts: A case report and review of the literature". Journal of Pediatric Surgery Case Reports. 22: 35–38. doi: 10.1016/j.epsc.2017.05.003 .