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Urethral Prolapse

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Urethral Prolapse, Prolapsed Urethral Mucosa

  • See Also
  1. Labial Fusion
  • Epidemiology
  1. Typically occurs in girls, at ages 2-5 years old
  2. More common in african american children
  • Pathophysiology
  1. Low Estrogen state at Urethra and vagina
  • Symptoms
  1. Urethral bleeding
  2. Dysuria
  3. Provocative
    1. Valsalva Maneuver (Constipation, cough)
  • Signs
  1. Urethra appears beefy red and friable
  • Differential Diagnosis
  1. Urinary Tract Infection
  2. Pediatric Vulvovaginitis
  • Management
  1. Manual reduction is NOT needed
  2. Treat Constipation
  3. Apply daily a small amount olf Topical Estrogen (e.g. Premarin Cream, Estrace Cream) to Urethral area
    1. Similar management as Labial Fusion
  • References
  1. Claudius and Willner in Herbert (2019) EM:Rap 19(1): 2-4