Patent urachus means: A patent open urachus is when the lumen of the Urachus does not get filled in. Leakage through the umbilicus is a telltale sign. It is necessary to have a patent urachus surgically removed.
(in Medical Dictionary)

What else does Patent urachus mean?

Patent urachus is a surgery that corrects a defect in the bladder. An open patent urachus has an opening between your bladder and the umbilicus. The birth canal usually closes the opening before birth. Infants are most likely to have an open urachus.
(in Medical Dictionary)