Related Experiment Videos
Medical treatment of urethral prolapse in children
Insights
Urethral prolapse in children can be effectively treated without surgery. Non-surgical methods like antibiotics and estrogen cream resolved cases, showing no recurrence in follow-up.
Area of Science:
- Urology
- Pediatric Surgery
- Gynecology
Background:
- Urethral prolapse involves urethral mucosa eversion, with distinct premenarcheal and menopausal presentations.
- Premenarcheal prolapse often presents with vaginal bleeding, linked to trauma or increased abdominal pressure.
- Menopausal prolapse typically causes significant urinary symptoms like nocturia, urgency, and dysuria.
Observation:
- Traditional treatments for urethral prolapse include surgical excision, ligation, cautery, fulguration, and cryosurgery.
- This study focused on non-surgical management for premenarcheal urethral prolapse.
- Five pediatric patients with urethral prolapse were treated.
Findings:
- The treatment regimen included antibiotics, estrogen cream, and sitz baths for two weeks.
- Complete resolution of urethral prolapse was observed in all five pediatric patients.
- Follow-up for 4 to 12 months revealed no recurrence of the condition.
Implications:
- Non-surgical management is a viable alternative to surgery for pediatric urethral prolapse.
- This approach offers a less invasive option for treating urethral prolapse in children.
- Further research may validate conservative treatment protocols for pediatric urethral prolapse.
Abstract:
Urethral prolapse denotes the complete circular eversion of the urethral mucosa through the external meatus. Two different entities exist: premenarcheal and menopausal urethral prolapse. Premenarcheal prolapse is predominantly asymptomatic and is usually brought to medical attention by vaginal bleeding. Trauma and medical conditions predisposing a patient to increased abdominal pressure are associated with prolapse in children. The menopausal group seeks medical attention primary because of the severity of urinary symptoms, ie, nocturia, urgency, tenesmus, dysuria, and frequency. Therapy for both groups has been traditionally accomplished by surgical manipulation-excision, surgical ligation, cautery, fulguration, and cryosurgery. The authors treated 5 premenarcheal female children with antibiotics, estrogen cream, and sitz baths for 2 weeks. In all the patients prolapse was resolved. The results, with follow-up for 4 to 12 months without recurrence, suggest that urethral prolapse in children can be managed without surgical intervention.