Urachus

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Urachus
Gray1156.png
Vertical section of bladder, penis, and urethra. Urachus is seen at top
Gray's subject #252 1213
MeSH Urachus
Dorlands/Elsevier u_03/12837658

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Overview

The urachus is an embryological canal connecting the urinary bladder of the fetus with the allantois, a structure that contributes to the formation of the umbilical cord. The lumen (inside) of the urachus is normally obliterated during embryonic development, transforming the urachus into a solid cord, a functionless remnant. The urachus lies in the space of Retzius, between the transversalis fascia anteriorly and the peritoneum posteriorly.

Formation

The vesico-urethral portion of the urogenital sinus absorbs the ends of the Wolffian ducts and the associated ends of the renal diverticula, and these give rise to the trigone of the bladder and part of the prostatic urethra. The remainder of the vesico-urethral portion forms the body of the bladder and part of the prostatic urethra; its apex is prolonged to the umbilicus as a narrow canal, which later is obliterated and becomes the median umbilical ligament (urachus). Note: The two medial umbilical ligaments are the obliterated umbilical arteries.

Pathology

Failure for the lumen of the urachus to be filled in leaves a patent (open) urachus. The telltale sign is leakage of urine through the umbilicus. A patent urachus needs to be surgically removed.

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This article was originally based on an entry from a public domain edition of Gray's Anatomy. As such, some of the information contained herein may be outdated. Please edit the article if this is the case, and feel free to remove this notice when it is no longer relevant.

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