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Hernia Surgeon
Dr Goldstein would be a great choice for you!
In some, the urachusbis patent (open) and is basically a communication from your bladder up to your belly button as a small tube down the middle. A CT scan with contrast or ultrasound can tell you if you have a patent urachus. It’s not common and your symptoms are likely due to your hernia.
In TEP, the fascial entry is actually to the side, so it’s a non-issue with the urachus. I agree with Dr Earle that I would not change the port placements based on this supposed problem. If a patent urachus is noted, it can be addressed and should be stapled off very low at the bladder level and sent to pathology for examination.