Urethral Prolapse

Aka: Urethral Prolapse, Prolapsed Urethral Mucosa

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II. Epidemiology

  1. Typically occurs in girls, at ages 2-5 years old
  2. More common in african american children

III. Pathophysiology

  1. Low Estrogen state at Urethra and vagina

IV. Symptoms

  1. Urethral bleeding
  2. Dysuria
  3. Provocative
    1. Valsalva Maneuver (Constipation, cough)

V. Signs

  1. Urethra appears beefy red and friable

VI. Differential Diagnosis

  1. Urinary Tract Infection
  2. Pediatric Vulvovaginitis

VII. Management

  1. Manual reduction is NOT needed
  2. Treat Constipation
  3. Apply daily a small amount olf Topical Estrogen (e.g. Premarin Cream, Estrace Cream) to Urethral area
    1. Similar management as Labial Fusion

VIII. References

  1. Claudius and Willner in Herbert (2019) EM:Rap 19(1): 2-4

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Ontology: Prolapsed urethral mucosa (C0156287)

Concepts Finding (T033)
ICD9 599.5
ICD10 N36.3
SnomedCT 266566002, 197935003, 12068006
Spanish Mucosa uretral prolapsada, mucosa uretral prolapsada, mucosa uretral prolapsada (trastorno)
Italian Prolasso della mucosa uretrale
French Prolapsus de la muqueuse urétrale
Dutch urethraslijmvlies geprolabeerd, Geprolabeerde mucosa van urethra
German Vorfall der Urethraschleimhaut, Prolaps der Harnroehrenschleimhaut
Portuguese Mucosa uretral prolapsada
Japanese ﾆｮｳﾄﾞｳﾈﾝﾏｸﾀﾞﾂ, 尿道粘膜脱
Czech Prolaps sliznice močové trubice
Korean 탈출성 요도 점막
English Prolapse urethral mucosa, Prolapsed urethral mucosa (disorder), Prolapsed urethral mucosa
Hungarian prolabált urethralis mucosa
Derived from the NIH UMLS (Unified Medical Language System)

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