Urethral Mucosa Prolapse In a 7-Year-Old Black Girl: Conservative Management-Case Repot

Utoo BT

Published on: 2024-05-31

Abstract

Urethral prolapse is a rare benign condition and majorly occurs in black prepubertal girls. Although, some cases are now being reported in whites and Hispanic girls. It consists of the eversion of the distal urethral mucosa through the outer urethral meatus, leading to vascular obstruction and prolapsed tissue oedema. The aetiology is not very clear but there are associated predisposing factors. A reported case of a urethral prolapse in a 7-year-old girl at a University Teaching Hospital in Nigeria is here presented. She was referred from a private health facility with a presentation of vaginal bleeding and a soft, reddish coloured, donut-shaped vulva swelling. The impression of urethral caruncle or sexual abuse was entertained before referral. She was treated conservatively with oestrogens and antibiotics and discharged after 6 months of follow up care.