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International Urogynecology Journal

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01-10-2016 | IUJ Video

Surgical excision of urethral prolapse

Authors: Audra Jolyn Hill, Lauren Siff, Sandip P. Vasavada, Marie Fidela R. Paraiso

Published in: International Urogynecology Journal | Issue 10/2016

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.

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Richardson DA, Hajj SN, Herbst AL (1982) Medical treatment of urethral prolapse in children. Obstet Gynecol 59(1):69–74PubMed

Hillyer S, Mooppan U, Kim H, Gulmi F (2009) Diagnosis and treatment of urethral prolapse in children: experience with 34 cases. Urology 73(5):1008–1011CrossRefPubMed

Lowe FC, Hill GS, Jeffs RD, Brendler CB (1986) Urethral prolapse in children: insights into etiology and management. J Urol 135(1):100–103PubMed

Valerie E, Gilchrist BF, Frischer J, Scriven R, Klotz DH, Ramenofsky ML (1999) Diagnosis and treatment of urethral prolapse in children. Urology 54(6):1082–1084CrossRefPubMed

Holbrook C, Misra D (2012) Surgical management of urethral prolapse in girls: 13 years’ experience. BJU Int 110(1):132–134CrossRefPubMed

Blaivas JG, Flisser AJ, Bleustein CB, Panagopoulos G (2004) Periurethral masses: etiology and diagnosis in a large series of women. Obstet Gynecol 103(5 Pt 1):842–847CrossRefPubMed

Rudin JE, Geldt VG, Alecseev EB (1997) Prolapse of urethral mucosa in white female children: experience with 58 cases. J Pediatr Surg 32(3):423–425CrossRefPubMed

Title: Surgical excision of urethral prolapse
Authors: Audra Jolyn Hill
Lauren Siff
Sandip P. Vasavada
Marie Fidela R. Paraiso
Publication date: 01-10-2016
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 10/2016
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-016-3021-9

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Surgical excision of urethral prolapse

Abstract

Introduction

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusions

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