Spontaneous postmenopausal urethral prolapse: a case report and review of literature

Istanbul Training and Research Hospital, Urology Clinic, Istanbul, Turkey.
Archivio italiano di urologia, andrologia: organo ufficiale [di] Società italiana di ecografia urologica e nefrologica / Associazione ricerche in urologia 12/2012; 84(4):214-5.
Source: PubMed


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.

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    • "A popular hypothesis suggests the lack of estrogen or poor attachments between the layers of smooth muscle around the urethra [2] [3]. In recent years there have been a few reports of UP as a result of injecting urethral bulking agents for stress urinary incontinence [4] and spontaneous prolapse [5]. UP presents as a circular and complete eversion of the urethral mucosa at the external meatus. "
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    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