Transperineal sonographic findings in a woman with urethral mucosa prolapse.
We present a case of urethral mucosa prolapse in a postmenopausal woman. Transperineal gray-scale sonograms revealed a clover-shaped, hypoechoic mass protruding from the urethral meatus. Doppler studies revealed blood flow within the protruding mass. Detection of feeding arteries and draining veins contributed to exclude the possibility of necrosis and gangrene, thus allowing conservative medical treatment to be tried. The mucosal prolapse regressed after 1 week's treatment with topical estrogen and antibiotics and sitz baths. Follow-up sonograms showed a normal urethral configuration and diminished vascular flow when compared with the initial study.
Yang
Jenn-Ming
JM
Division of Urogynecology, Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei Medical University, 92 Chung-Shan North Road, Sec. 2, Taipei, 104, Taiwan, Republic of China.
Huang
Wen-Chen
WC
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001494:Baths; D004967:Estrogens; D005260:Female; D006801:Humans; D008875:Middle Aged; D017698:Postmenopause; D012074:Remission Induction; D014463:Ultrasonography; D014596:Uterine Prolapse / Q000000981:diagnostic imaging* / Q000628:therapy*
D000900:Anti-Bacterial Agents; D004967:Estrogens