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.
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    ABSTRACT: A 62-year-old woman presented 3 weeks following vaginal hysterectomy and anterior repair with exquisite urethral pain, incontinence and complete urethral prolapse. Following examination under anaesthesia and cystoscopy, anterior vaginal repair sutures were removed with spontaneous reduction of the prolapse. At a 5-week follow-up appointment, the patient was asymptomatic with resolution of the urethral prolapse. 2014 BMJ Publishing Group Ltd.
    No preview · Article · Nov 2014 · Case Reports