A case report of urethral prolapse in young girls: Clinical manifestations and surgical management.

Autor:	Hidouri S; Research Laboratory LR12SP13, Faculty of Medicine of Monastir, Tunisia; Department of Paediatric Surgery, Hospital of Zaghouan, Tunisia., Ammar SB; Department of Paediatric Surgery, Hospital of Zaghouan, Tunisia., Mosbahi S; Research Laboratory LR12SP13, Faculty of Medicine of Monastir, Tunisia; Department of Paediatric Surgery, Medical School Hospital of Monastir, Tunisia., Chaouch MA; Department of Surgery, Medical School Hospital of Monastir, Tunisia. Electronic address: Docmedalichaouch@gmail.com., Gafsi B; Department of Anaesthesiology, Medical School Hospital of Monastir, Tunisia., Mekki M; Research Laboratory LR12SP13, Faculty of Medicine of Monastir, Tunisia; Department of Paediatric Surgery, Medical School Hospital of Monastir, Tunisia. Electronic address: mongi.mekki@rns.tn.
Jazyk:	angličtina
Zdroj:	International journal of surgery case reports [Int J Surg Case Rep] 2024 Jul; Vol. 120, pp. 109879. Date of Electronic Publication: 2024 Jun 05.
DOI:	10.1016/j.ijscr.2024.109879
Abstrakt:	Background and Importance: Urethral Prolapse (UP), first described by Solinger in 1732, is a rare condition characterized by the circular protrusion of the distal urethral mucosa through the external meatus, forming a hemorrhagic, sensitive vulvar mass. This condition is most commonly observed in prepubertal black females. This case report details the clinical manifestations and surgical management of UP in three young girls. Cases Presentation: Three girls, aged 4, 5, and 6 years, were admitted with symptoms of vaginal blood spotting. Physical examinations revealed moderate bleeding and a red ring of congested, edematous tissue prolapsing through the urethral meatus. Diagnostic procedures confirmed UP, and surgical management was undertaken. The surgical approach involved the complete excision of the prolapsed tissue and mucosal-to-mucosal anastomosis under general anaesthesia. Postoperative follow-up over a mean period of 11 years showed no recurrence or urethral stricture. Clinical Discussion: UP is a rare benign condition primarily affecting the female urethra, with several hypothesized etiologies, including weak pelvic floor structures and increased intraabdominal pressure. The typical presentation includes vaginal bleeding and a doughnut-shaped mass around the urethral meatus. Conservative management may be considered for mild cases, but surgical excision is recommended for severe cases, offering a safe and effective solution with low recurrence rates. Conclusions: UP in children, although rare, should be considered in cases of unexplained vaginal bleeding. Diagnosis is primarily clinical, and surgical resection provides a definitive and cost-effective treatment. Competing Interests: Conflict of interest statement No conflict of interest to disclose. (Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze:	MEDLINE
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