Diagnosis and treatment of urethral prolapse in children: experience with 34 cases
Shahab Hillyer1, Unni Mooppan, Hong Kim
1Department of Urology, Brookdale University Hospital and Medical Center, Brooklyn, New York 11212, USA.
Insights
Urethral prolapse, a condition affecting young girls, is diagnosed via physical exam. Surgical excision offers a successful treatment with prompt recovery and minimal complications.
Area of Science:
- Urology
- Pediatric Surgery
Background:
- Urethral prolapse involves the protrusion of urethral mucosa.
- It is a rare condition, predominantly seen in pediatric patients.
Purpose of the Study:
- To review cases of urethral prolapse.
- To emphasize diagnosis and treatment in pediatric patients.
Main Methods:
- Retrospective chart review of 34 patients.
- Inclusion of all age groups treated at an inner-city institution.
- Review of relevant published data.
Main Results:
- Diagnosis primarily based on physical examination.
- Successful treatment achieved through surgical excision of prolapsed mucosa over a Foley catheter.
- Patients discharged within 24 hours post-operation with no major complications.
Conclusions:
- Urethral prolapse predominantly affects premenarchal Black girls.
- Prompt surgical treatment with excision and early discharge is recommended.
Objectives:
To retrospectively review 34 cases of urethral prolapse at an inner-city institution with an emphasis on diagnosis and treatment in the pediatric population.
Methods:
We performed a retrospective chart review of 34 patients of all age groups with urethral prolapse treated at our institution and reviewed the relevant published data.
Results:
A total of 34 patients with urethral prolapse were treated at our institution during a 23-year period. The diagnosis was made mainly by physical examination. The findings from the history, physical examination, and pertinent laboratory investigations were reviewed. Most patients were treated successfully with excision of the prolapsed mucosa circumferentially over a Foley catheter and discharged home within 24 hours of the operation. No major complications occurred.
Conclusions:
Urethral prolapse primarily affects premenarchal black girls and should be treated promptly with excision of the prolapsed mucosa and early hospital discharge.
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