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The urachus is a tubular embryonic structure connecting the allantois at the umbilicus to the bladder during development of foetus. It gets obliterated at 12th week of gestation and remains as a fibrous cord like structure extending from the umbilicus to the dome of the bladder. Complete or partial failure of this process results in urachal anomalies. We are reporting a rare case of young lady presenting with features of dysuria and passage of jelly like material in urine which was subsequently diagnosed as vesicourachal diverticulum by cross sectional imaging, cystoscopy and managed with minimally invasive surgical excision.

Introduction: Acute Urinary Retention (AUR) is an important feature of progression of Benign Prostatic Hyperplasia (BPH). The management of AUR is immediate urethral catheterisation followed by Trial without Catheter (TWOC). Aim: The aim of this study was to evaluate the factors predicting outcome of TWOC in patients with AUR due to BPH. Materials and Methods: Ninety patients with spontaneous AUR secondary to BPH were selected for the study. Various factors e.g., age, duration of Lower Urinary Tract Symptoms (LUTS), drained urinary volume, Digital Rectal Examination (DRE) prostate size, Ultrasonography (USG) prostate volume, thickened bladder wall, Intravesical Prostatic Protrusion (IPP) grade were recorded. Tamsulosin was administered for three days before trial. The TWOC was considered successful if patient voided within six hours with Qmax >5 mL/second and Post Void Residual (PVR) urine