article · Research and Analysis Journal
Urethral prolapse is a rare, benign medical condition defined by the complete eversion of the distal urethral mucosa. It primarily affects individuals at the extremes of age, being most prevalent among pre-pubertal girls of African descent, and is thought to be linked to hypoestrogenic states. Patients typically present with vaginal bleeding and a genital mass, sometimes accompanied by urinary symptoms. These clinical signs can lead to mistaken concerns regarding potential sexual assault. While mild or asymptomatic presentations may be managed conservatively, surgical excision serves as the standard approach to achieve faster symptom resolution and reduce recurrence risk. In this reported clinical instance, a 14-year-old girl diagnosed with urethral mucosal prolapse underwent successful surgical excision, achieving a positive recovery outcome.
Understanding urethral mucosal prolapse helps clinicians accurately distinguish this benign disorder from trauma or suspected sexual abuse. Because its presentation with genital masses and bleeding can cause immense distress to patients and families, raising awareness of the condition and its successful treatment via surgical excision ensures correct diagnosis, timely intervention, and reassurance.
The abstract does not indicate an application pathway, as it describes a clinical case managed through conventional surgical excision.
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Urethral prolapse is the complete eversion of the distal urethral mucosa. It is a rare benign condition seen at extreme of age groups being most common with pre-pubertal girls of African descent. It is assumed to be related to hypoestrogenic states of these extreme age groups. It commonly present as vaginal bleeding and genital mass with or without urinary symptoms which may create a false panic over possible sexual assault. Conservative management may be offered to mild or asymptomatic cases while surgery remains the standard treatment modality with faster resolution of symptoms and lower recurrence. We present a case of a 14-year-old with urethral mucosal prolapse who had surgical excision of the prolapse with good outcome.
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DOI: 10.18535/raj.v8i01.495
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