Urethral Prolapse: A Case Series and Literature Review

Area of Science:

• Urology
• Gynecology

Background:

• Urethral mucosal prolapse is uncommon in young adults, typically affecting children and postmenopausal women.
• This condition can present with varied symptoms, leading to potential misdiagnosis.

Purpose of the Study:

• To describe the experience with urethral mucosal prolapse in a young adult patient cohort.
• To compare findings with existing literature and highlight diagnostic challenges.

Main Methods:

• Retrospective review of medical records from an outpatient micturition disorders clinic.
• Analysis of demographic data, presenting complaints, treatment strategies, and patient outcomes for urethral mucosal prolapse cases.

Main Results:

• Twelve cases of urethral mucosal prolapse were identified, including familial cases and a reproductive-aged patient.
• Common symptoms included bleeding, urinary retention, pain, and partially thrombosed mucosa.
• Misdiagnosis frequently delayed appropriate treatment, even in symptomatic individuals.

Conclusions:

• Urethral mucosal prolapse, while diagnosable, is associated with complications in this series.
• Accurate and timely diagnosis is essential for successful management.
• Increased awareness through descriptive studies can improve patient care for urethral mucosal prolapse.