Laparoscopic management of urachal remnants in women affected of pelvic pain
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Juan Gilabert-Estelles & Juan Gilabert-Aguilar
- چاپ و سال / کشور: 2009
Description
Symptomatic urachal cysts are very infrequently encountered in women affected of pelvic pain and uterine myomas. We report on two female patients aged 40 and 49 years, who underwent complete transperitoneal laparoscopic excision of urachal cysts at our unit. The first patient suffered from infertility and presented a uterine myoma, which was treated with laparoscopic myomectomy. The second case referred was menorrhagia and chronic pelvic pain, and she was treated with a total laparoscopic hysterectomy with complete excision of urachal cyst. All two operations had no serious immediate complications and minimal blood loss. Cysts were located at the lower third of the urachus, and no communication was detected between the cyst and the bladder. The bladder apex was reinforced using suturing in both cases, and a postoperative cystoscopy confirmed the integrity of the bladder wall. Patients were discharged uneventfully on the second postoperative day. In conclusion, complete excision of urachal remnants in women affected of pelvic pain is advisable in order to treat the symptoms and can be safely performed by a laparoscopic approach.
Gynecol Surg (2011) 8:45–48 DOI 10.1007/s10397-009-0544-9 Received: 2 November 2009 / Accepted: 23 November 2009 / Published online: 18 December 2009
