Umbilicoplasty with a New Three-Step Technique in a Case of a Patent Urachus

Umbilicoplasty describes either new construction or reconstruction of the umbilicus and is commonly applied in children when malformations or secondary destruction of the umbilicus occurs. In the case of a patent urachus, resection of the connection between umbilicus and urinary bladder and subsequent reconstruction of the umbilicus become necessary. We describe the surgical steps that were carried out to resect the urachus from umbilicus to urinary bladder. Subsequently, the umbilicus was reconstructed in a new technique consisting of three steps, modifying two methods originally developed for bladder exstrophy. Clinical workup demonstrated an excellent cosmetic result as well as appropriate wound healing of the new inverted umbilicus and the caudal scar. Neither infectious nor ischemic complications were encountered.