Neonatal urachal fistula

A urachal fistula usually occurs in newborns and is characterized by fluid discharge from the umbilicus. Water discharge from the navel does not necessarily mean urachal fistula, it may also be urethral obstruction. If a newborn is found to have this phenomenon, he should be taken to the hospital to check whether he has urachal fistula. Urachal fistula needs to be treated through surgery to remove the fistula and suture the top of the fistula. During the illness, you should pay attention to eating light food and maintain a balanced nutrition.

A basic overview of urachal fistula

Urachal fistula caused by patent urachal is rare in clinical practice. It is characterized by urine leakage from the umbilicus and local symptoms may occur when infection occurs. Injecting methylene blue into the bladder to observe whether the transudate is stained blue. Injecting contrast agent into the fistula, excretion cystourethrography or cystography can confirm the diagnosis. The treatment method is surgical resection of the fistula. Since some patients may have lower urinary tract obstruction, attention should be paid to relieving the obstruction. ?

Causes of urachal fistula

The cause of urachal fistula is not fully understood. Although some people believe that it is related to urinary tract obstruction, in fact, only 14% of newborns with urachal fistula have evidence of obstruction; not all patients with severe posterior urethral valves have urachal fistula at the same time. Moreover, urachal closure occurs before the urethra is formed.

Common symptoms of urachal fistula

Almost all patients seek medical treatment for fluid discharge from the umbilicus, which is more obvious when the abdominal pressure increases. The extent depends on the size of the fistula. If the fistula is large, fluid will continuously discharge from the umbilicus, while if the fistula is small, the umbilicus is only moist. 97.5% of the umbilicus is swollen, with local protrusion of granulation tissue or covered with scab. The diagnosis of ureteral fistula is generally not difficult. In suspected cases, a thin catheter is inserted through the umbilicus and fluid will flow out. Testing the urea nitrogen and creatinine content of the fluid can determine whether it is urine.

Treatment of urachal fistula

Treatment is surgical excision of the fistula, including the umbilicus, and suturing of the fistula at the top of the bladder. A urinary catheter or cystostomy tube is placed after surgery. It should be noted that urachal fistula can occur secondary to lower urinary tract obstruction. If there is lower urinary tract obstruction, it should be relieved.

Diet for urachal fistula

What foods are good for the body for urachal fistula: It is advisable to eat light food, eat more fruits and vegetables, match the diet reasonably, and pay attention to adequate nutrition. Pay attention to reasonable nutrition, try to diversify the food, eat more high-protein, multi-vitamin, low-animal fat, easily digestible food and fresh fruits and vegetables, do not eat stale, spoiled or irritating food, eat less smoked, grilled, pickled, fried, and overly salty food, and combine coarse and fine grains as staple food to ensure nutritional balance.