Alexandre Fornari 1 , Marina Gressler 1 , Jean Carlos Levay Murari 1 Show Affiliations »
Abstract
INTRODUCTION AND HYPOTHESIS: Urethral mucosal prolapse is most frequently seen in children and postmenopausal women, and extremely rare in young adult patients. In this context, we aim to describe our experience with this condition and compare our findings with the literature. METHODS: We reviewed the medical records of our outpatient micturition disorders clinic (between August 2014 and April 2017) for patients with a diagnosis of urethral mucosal prolapse, seeking to evaluate their demographic characteristics, presenting complaints, treatment, and outcomes. RESULTS: We found 12 cases of urethral mucosal prolapse, including a mother and daughter and a reproductive-aged patient. Presenting symptoms included bleeding, urinary retention, partially thrombosed mucosa, and pain. Misdiagnosis was common and caused treatment delay, even in some very symptomatic patients. CONCLUSION: Urethral mucosal prolapse is a readily diagnosed condition and often associated with complications in our series. Proper diagnosis is key to successful, timely treatment. Descriptive studies such as this are important to raise awareness of this diagnosis and improve patient care. © Federation of Obstetric & Gynecological Societies of India 2019.
INTRODUCTION AND HYPOTHESIS: Urethral mucosal prolapse is most frequently seen in children and postmenopausal women, and extremely rare in young adult patients. In this context, we aim to describe our experience with this condition and compare our findings with the literature. METHODS: We reviewed the medical records of our outpatient micturition disorders clinic (between August 2014 and April 2017) for patients with a diagnosis of urethral mucosal prolapse, seeking to evaluate their demographic characteristics, presenting complaints, treatment, and outcomes. RESULTS: We found 12 cases of urethral mucosal prolapse, including a mother and daughter and a reproductive-aged patient. Presenting symptoms included bleeding, urinary retention, partially thrombosed mucosa, and pain. Misdiagnosis was common and caused treatment delay, even in some very symptomatic patients. CONCLUSION: Urethral mucosal prolapse is a readily diagnosed condition and often associated with complications in our series. Proper diagnosis is key to successful, timely treatment. Descriptive studies such as this are important to raise awareness of this diagnosis and improve patient care. © Federation of Obstetric & Gynecological Societies of India 2019.
Entities: Chemical
Keywords:
Prolapse treatment; Urethral caruncle; Urethral mass; Urethral prolapse; Urological surgery; Vaginal bleeding
Year: 2019
PMID： 32255955 PMCID： PMC7109233 DOI： 10.1007/s13224-019-01288-2
Source DB: PubMed Journal: J Obstet Gynaecol India ISSN： 0975-6434