Urethral prolapse is a circular protrusion of the distal urethra through the external meatus. It is very rare condition seen mostly in black premenercheal black girl and occasionally in postmenopausal white women. We present a case of spontaneous urethral prolapse in 63-year-old postmenopousal white women with succesful management with estrogen treatment.
"A popular hypothesis suggests the lack of estrogen or poor attachments between the layers of smooth muscle around the urethra  . In recent years there have been a few reports of UP as a result of injecting urethral bulking agents for stress urinary incontinence  and spontaneous prolapse . UP presents as a circular and complete eversion of the urethral mucosa at the external meatus. "
[Show abstract][Hide abstract] ABSTRACT: Urethral prolapse (UP) is a circular complete eversion of the distal urethral mucosa through the external meatus. It is a rare condition seen mostly in African-American premenarcheal girls. Both a medical and a surgical approach to this condition have been described. We present a case of a spontaneous urethral prolapse in a 60-year-old postmenopausal Caucasian woman, who failed medical management and underwent successful surgical management. The patient is asymptomatic 18 months following the procedure.
07/2014; 2014:695471. DOI:10.1155/2014/695471
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