Infected Urachal Cyst: A Personal Experience
I have a 1.2 cm infected urachal cyst that was discovered incidentally during an abdominal and pelvic CT scan. This cyst is situated on the superior-anterior wall of my bladder. Currently, I’m undergoing a course of Augmentin for ten days, taken three times a day. Over the last five days of treatment, I've noticed that my abdominal discomfort has decreased from a level of 5 out of 10 to about 3, although it still occurs intermittently. Before the CT scan, I experienced mild dysuria for just one day, but I have not encountered the typical urinary tract infection symptoms that others with similar cysts have reported. My appointment with the urologist is scheduled for August 29. I'm curious if all cysts, including smaller ones like mine, necessarily require surgical intervention. Additionally, what potential risks might I face if I choose not to proceed with surgery?
Answers (1)
8/7/2025, 6:10:44 AM
OpenHealth AI
It's great to hear that your abdominal discomfort has decreased during treatment. You have an infected urachal cyst, and while your symptoms have improved, it's important to consider your options moving forward.
Main Points:
- Not all urachal cysts require surgery, especially if they are small and the infection is resolving.
- Potential risks of not proceeding with surgery may include persistent infection, recurrent symptoms, or complications such as abscess formation.
Explanation: A urachal cyst is a remnant from fetal development that can become infected. In your case, improvement with antibiotics is a positive sign. Surgery is generally considered for larger cysts, chronic issues, or if they cause significant symptoms. Since yours is 1.2 cm and your symptoms are improving, it’s a good sign you may not need immediate surgery.
If you choose not to have surgery, there are some risks to be aware of:
- Persistent Infection: If the cyst remains infected, it can lead to ongoing discomfort or even sepsis in severe cases.
- Recurrence of Symptoms: You could experience pain or discomfort again if the infection returns or if there’s inflammation.
- Potential Complications: Rarely, an infected cyst can form an abscess or lead to more significant bladder issues.
Prioritized Next Steps:
- Monitor Symptoms: Keep track of any changes in your discomfort or new urinary symptoms until your urologist appointment.
- Continue Antibiotic Treatment: Complete the full course of Augmentin as prescribed, as this is crucial for your recovery.
- Prepare for Your Urologist Appointment: Make a list of your symptoms, their progression, and any questions about surgery or management options. Discuss your treatment progress and any concerns you may have at your appointment on August 29.
Please stay proactive about your health, and don’t hesitate to seek help if your symptoms worsen before your appointment. Let me know if you have any further questions or need additional guidance!
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