Urethral prolapse in a premenarchal Asian girl.
BACKGROUND
Urethral prolapse is an uncommon condition characterized by complete circular eversion of the urethral mucosa through the external meatus.


METHODS
We present the case of a 9-year-old Asian girl who presented with 3 days of vaginal spotting and a painless vulvar mass. After several unsuccessful attempts of manual reduction, surgery was performed. As a result, the patient had no recurrence or meatal stenosis at the 6-month follow-up.


CONCLUSIONS
Urethral prolapse can be clinically diagnosed without laboratory or radiographic evaluation by demonstrating edematous tissue that surrounds the meatus circumferentially. It should not be confused with other causes of vaginal bleeding, including sexual abuse.
Park
Byung-Joon
BJ
From the Departments of Obstetrics and Gynecology and Urology, Our Lady of Mercy Hospital, College of Medicine, the Catholic University of Korea, Inchon, Korea.
Kim
Yong-Wook
YW
Kim
Tae-Eung
TE
Lee
Dong-Hwan
DH
D002648:Child; D005260:Female; D006801:Humans; D011391:Prolapse; D014522:Urethral Diseases / Q000601:surgery*; D013520:Urologic Surgical Procedures; D014623:Vaginal Diseases / Q000601:surgery