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Traumatic catheterization as a precipitating factor for urethral prolapse in 4 years old child

Peter Afolayan1, E H Abdel Goad2, Bongiwe Pepu3

  • 1Nelson R Mandela School of Medicine, South Africa.

Urology Case Reports
|April 24, 2020
PubMed

Insights

Urethral prolapse, a rare condition, can occur in children. This case highlights accidental transurethral catheter removal as a potential precipitating factor in pediatric urethral prolapse.

Area of Science:

  • Urology
  • Pediatric Surgery

Background:

  • Urethral prolapse involves the protrusion of the distal urethra through the meatus.
  • It is most common in prepubertal Black females and postmenopausal White women, with an incidence of approximately 1 in 3000.
  • Precipitating factors are not fully understood, though urinary tract instrumentation is a rare possibility.

Observation:

  • A case of urethral prolapse in a child is presented.
  • The prolapse was precipitated by the traumatic accidental removal of a transurethral catheter.

Findings:

  • The study details a specific instance of urethral prolapse in a pediatric patient.
  • It identifies traumatic transurethral catheter removal as a direct precipitating event.

Implications:

  • This case suggests that accidental trauma during urinary catheter removal can lead to urethral prolapse in children.
  • It underscores the need for careful handling of transurethral catheters in pediatric patients.
  • Further investigation into iatrogenic causes of urethral prolapse is warranted.

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