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Urethral prolapse in children

E T Fernandes1, S Dekermacher, M A Sabadin

  • 1Department of Pediatric Surgery, Hospital dos Servidores do Estado, Rio de Janeiro, Brazil.

Urology
|March 1, 1993
PubMed
Summary
This summary is machine-generated.

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Urethral prolapse in girls can be treated conservatively for mild cases or surgically via complete excision for best results. Surgical excision is recommended for persistent or severe cases of urethral prolapse.

Area of Science:

  • Pediatric Urology
  • Pediatric Surgery

Background:

  • Urethral prolapse is a rare condition affecting girls, often presenting with vaginal bleeding.
  • Predisposing factors include cough, trauma, and constipation.
  • Contrary to previous reports, white girls comprised a significant portion of the patient cohort.

Purpose of the Study:

  • To review the experience with urethral prolapse in a cohort of 23 girls.
  • To evaluate different therapeutic approaches and their outcomes.
  • To propose an evidence-based treatment strategy for urethral prolapse.

Main Methods:

  • Retrospective review of 23 girls diagnosed with urethral prolapse.
  • Analysis of presenting symptoms, predisposing factors, and demographic data.
  • Evaluation of treatment outcomes for conservative management, ligation over a Foley catheter, and surgical excision.

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Main Results:

  • Vaginal bleeding was the most common symptom.
  • Ligation over a Foley catheter resulted in a high rate of complications, including recurrence, infection, and pain, and is no longer utilized.
  • Complete excision of the urethral prolapse yielded the best therapeutic outcomes.

Conclusions:

  • Treatment decisions for urethral prolapse should be individualized based on the child's clinical condition and the prolapse's etiology.
  • Conservative management is suitable for acute, single episodes of increased abdominal pressure or in high-risk anesthesia patients.
  • Surgical excision is the preferred method for persistent cases or those unresponsive to conservative therapy.