Prolapse of the Urethral Mucosa in Prepubertal West Indian Girls

Abstract

Forty-two cases of urethral mucosal prolapse were reviewed in Trinidad, West Indies. The main presenting symptom was vaginal bleeding; 31% of patients had associated infection and 97% belonged to social classes III to V; 33% had conservative management and 67% had surgical treatment. It was concluded that treatment should be medical rather than surgical and it is suggested that this is a disease of the low socio-economic group.

Urethral mucosal prolapse in young girls: A report of nine cases in Cotonou

“…[10] The main presenting symptom is vaginal bleeding, [9,11,12,14] as in our experience given in this report. In contrast to the reports by other authors, [15] none of our patients presented with acute urine retention. Diagnosis was achieved by physical examination that revealed a soft mass tissue that bleeds on touch.…”

Surgical Excision of Strangulated Urethral Prolapse Mimicking Urethral Carcinoma Under Local Anesthesia in a Postmenopausal Woman

“…Its occurrence has been postulated to be related to estrogen deficiency and increased intra-abdominal pressure [1]. Poor hygiene and urinary infection may contribute to the development of the disease [3]. Also, supporting this concept is the finding that when urethral prolapse occurs in the postmenopausal age, the presentation is one of the severe urinary symptoms.…”

Transperineal sonographic findings in a woman with urethral mucosa prolapse

“…The ideal regimen is a combination of sitz baths and topical estrogen and antibiotics. 6 Nonsurgical treatment may reduce the severity of urethral mucosa prolapse, but the recurrence rate may be as high as 67%. 7 It has been suggested that while treatment with topical estrogen has effected cures in children, adult women usually require surgery.…”