title: Surgical excision of urethral prolapse.
abstract: BACKGROUND
  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.
authors.affiliation: Center for Urogynecology and Pelvic Reconstructive Surgery, Obstetrics/Gynecology and Women's Health Institute, Cleveland Clinic, 9500 Euclid Avenue, Desk A81, Cleveland, OH, 44195, USA. hilla8@ccf.org.
authors.forename: Audra Jolyn
authors.initials: AJ
authors.lastname: Hill
authors.affiliation: Center for Urogynecology and Pelvic Reconstructive Surgery, Obstetrics/Gynecology and Women's Health Institute, Cleveland Clinic, 9500 Euclid Avenue, Desk A81, Cleveland, OH, 44195, USA.
authors.forename: Lauren
authors.initials: L
authors.lastname: Siff
authors.affiliation: Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA.
authors.forename: Sandip P
authors.initials: SP
authors.lastname: Vasavada
authors.affiliation: Center for Urogynecology and Pelvic Reconstructive Surgery, Obstetrics/Gynecology and Women's Health Institute, Cleveland Clinic, 9500 Euclid Avenue, Desk A81, Cleveland, OH, 44195, USA.
authors.forename: Marie Fidela R
authors.initials: MF
authors.lastname: Paraiso
mesh_terms: D000208:Acute Disease; D000287:Administration, Topical; D000072700:Conservative Treatment; D004967:Estrogens / Q000008:administration & dosage; D005260:Female; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications; D011391:Prolapse; D012720:Severity of Illness Index; D014522:Urethral Diseases / Q000601:surgery*; D014549:Urinary Incontinence
chemical_list: D004967:Estrogens
keywords: Surgical treatment; Urethral prolapse