Spontaneous Postmenopausal Urethral Prolapse Treated Surgically and Successfully

Klein, Itzik; Dekel, Yoram; Stein, Avi

doi:10.1155/2014/695471

Cited by 7 publications

(11 citation statements)

References 8 publications

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“…Signs typical of UP are a circumferential lesion/mass of periurethral mucosa that may appear red/purple/pink-it is often described as an "annular rosette. " The prolapse may even have the appearance of necrotic or infected tissue around the urethral meatus [103,104]. Although, somewhat similar to a urethral caruncle in physical appearance it can be initially differentiated by the complete circumferential nature of the everted tissue and also caruncles tend to have a brighter red appearance than a UP.…”

Section: Clinical Presentationmentioning

confidence: 99%

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Female Urethral Disease: A Contemporary Review of Presentation, Diagnosis and Current Management Strategies

Cope¹,

Anglin²,

Dryden³

et al. 2021

J Surg Open Access

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Background: Female urethral diseases are sparsely discussed within the literature when compared to urethral diseases affecting men. While, the male urethra is impacted more frequently secondary to the comparative increase in average length, presence of the prostate and considerations of carrying genetic material-disease process of the female urethra impose significant distress to affected patients and also potential for malignancy. The clinical presentation and management strategies often differs from the male counterpart and therefore it is important to consider disease processes of the female urethra unto their own right for evaluation and successful management. It is to that end this publication is put forth.

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Section: Clinical Presentationmentioning

confidence: 99%

“…Surgical excision is rarely necessary and often is reserved for necrotic tissue but if it is necessary a "four-quadrant excisional technique" may be utilized with reanastomosis of the mucosal edges. Typically, an indwelling urinary foley will remain in place thereafter for 5-10 days [103,106].…”

Section: Managementmentioning

confidence: 99%

Female Urethral Disease: A Contemporary Review of Presentation, Diagnosis and Current Management Strategies

Cope¹,

Anglin²,

Dryden³

et al. 2021

J Surg Open Access

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“…In contrast to the pediatric population, urethral prolapse in adults is extremely rare and occurs almost exclusively in white and postmenopausal females. Vaginal bleeding, hematuria, dysuria, frequency, urgency, and nocturia are all potential presenting symptoms [ 5 ]. Herein, we present the case of urethral prolapse in a woman of reproductive age.…”

Section: Introductionmentioning

confidence: 99%

A Case of Strangulated Urethral Prolapse in a Premenopausal Adult Female

Jessop

Zaslau

Al‐Omar

2016

Case Reports in Urology

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Urethral prolapse in a premenopausal adult female is exceedingly rare. This paper describes a case of strangulated urethral prolapse presenting as a urethral mass in an unusual demographic and reviews the literature on etiology and management. Only a few cases have occurred in women of reproductive age. The etiology is likely multifactorial. Treatment with surgical excision provides good results in the majority of cases.

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“…Ligation of the urethral prolapse over a urethral catheter is another reported surgical option [10]. When medical management fails, surgical excision is usually resorted to with success [11]. We report the clinical presentations and outcomes of five cases of urethral prolapse managed by complete surgical excisions in Enugu to reappraise the subject with a view to making early clinical diagnosis by clinicians easier.…”

Section: Introductionmentioning

confidence: 99%

Premenarcheal Urethral Mucosa Prolapse in Enugu, Southeast, Nigeria: Five Case Series

Innocent¹

2015

J Women’s Health Care

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Background: Urethral Prolapse is a rare benign condition that is often misdiagnosed by clinicians.Objectives: To report the clinical presentations and outcomes of urethral prolapse in Nigerian pre-menarcheal girls and to review the literature.Methods: This retrospective study was undertaken from February 21, 2015 back to January 1st, 2010. The clinical presentations and outcomes of cases of urethral prolapse managed in Enugu with complete surgical excisions were reviewed.Results: There were five cases of pre-menarcheal urethral prolapses. Their ages ranged from 2 to 10 years with a mean age of 6.6 years. The case presentations were mass in the vagina (4/5, 80%), asymptomatic (3/5, 60%), bleeding per vagina (1/5, 20%), and dysuria (1/5, 20%). Four cases (4/5, 80%) were misdiagnosed with the parents suspecting sexual assault in 3 (3/5, 60%) children. The outcomes of the surgical excisions were uneventful in four (4/5, 80%) cases. One child (1/5, 20%) had postoperative acute retention of urine. There was no urinary incontinence or recurrence of urethral prolapse after the excisions.Conclusions: Urethral prolapse is rare and often misdiagnosed by clinicians. The outcomes of complete surgical excisions were uneventful in most cases.

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Spontaneous Postmenopausal Urethral Prolapse Treated Surgically and Successfully

Cited by 7 publications

References 8 publications

Female Urethral Disease: A Contemporary Review of Presentation, Diagnosis and Current Management Strategies

Female Urethral Disease: A Contemporary Review of Presentation, Diagnosis and Current Management Strategies

A Case of Strangulated Urethral Prolapse in a Premenopausal Adult Female

Premenarcheal Urethral Mucosa Prolapse in Enugu, Southeast, Nigeria: Five Case Series

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