Audra Jolyn Hill1, Lauren Siff2, Sandip P Vasavada3, Marie Fidela R Paraiso2. 1. Center for Urogynecology and Pelvic Reconstructive Surgery, Obstetrics/Gynecology and Women's Health Institute, Cleveland Clinic, 9500 Euclid Avenue, Desk A81, Cleveland, OH, 44195, USA. hilla8@ccf.org. 2. Center for Urogynecology and Pelvic Reconstructive Surgery, Obstetrics/Gynecology and Women's Health Institute, Cleveland Clinic, 9500 Euclid Avenue, Desk A81, Cleveland, OH, 44195, USA. 3. Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA.
Abstract
INTRODUCTION: Urethral prolapse is a rare condition that results in the eversion of the urethral mucosa through the distal urethra. Management is divided into two categories: conservative and surgical treatment. METHODS: We present a case of urethral prolapse with severe symptoms that were minimally responsive to topical estrogen. Surgical excision was achieved with resection of the redundant urethral mucosa. RESULTS: This video highlights surgical techniques that can be used for the excision of urethral prolapse. CONCLUSIONS: The management of urethral prolapse should be individualized based on symptom severity, anatomical compromise, and surgical morbidity. Surgical management should be considered in cases of vascular compromise or failed medical management.
INTRODUCTION: Urethral prolapse is a rare condition that results in the eversion of the urethral mucosa through the distal urethra. Management is divided into two categories: conservative and surgical treatment. METHODS: We present a case of urethral prolapse with severe symptoms that were minimally responsive to topical estrogen. Surgical excision was achieved with resection of the redundant urethral mucosa. RESULTS: This video highlights surgical techniques that can be used for the excision of urethral prolapse. CONCLUSIONS: The management of urethral prolapse should be individualized based on symptom severity, anatomical compromise, and surgical morbidity. Surgical management should be considered in cases of vascular compromise or failed medical management.