In September 2009 I ended up in the hospital with pain--turned out to be kidney stones. The scan that was done showed I had an enlarged urachal. In October I had a procedure when they went up and bioposied it from the inside of the bladder, the cells and muscle wall showed no cancer. The dr. sent me for an MRI and he suggested we would continue to monitor the part sticking out of the bladder...but after discussion, as I am a Remicade patient we have decided to have the surgery and cut it out now.
It is very dificult to find information, are urachal and bladder cancer the same thing? Does urachal cancer turn into bladder cancer? Is it possible to have this growth and not have cancer?
I also have colitis and have been on remicade for 1 year...my GI has informed me if this is cancerous, I would have to stop remicade and move towards having my colon removed.
I am 39 year old male, healthy (besides the colitis -- I've only had one major flare in 10 years, last year that led to the remicade.)
The urachus is a normal structure that connects the bladder to the umbilical cord during development in the uterus. After birth the walls of this tube usually grow together and the tube is obliterated. In some of us this last portion of development does not occur and the tube or parts of this tube remain open. This can be just an outpouching of the top of the bladder. Cancer may develop in it but it is a different type of cancer than the usual bladder cancers and may be quite aggressive.
The literature is mixed in recommending the removal of a urachal remnant for prophylactic (preventative) purposes. This anomaly is rare and there are no large series of patients in the literature.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.