II. Epidemiology
- Typically occurs in girls, at ages 2-5 years old
- More common in african american children
IV. Symptoms
- Urethral bleeding
- Dysuria
- Provocative
- Valsalva Maneuver (Constipation, cough)
V. Signs
- Urethra appears beefy red and friable
VI. Differential Diagnosis
VII. Management
- Manual reduction is NOT needed
- Treat Constipation
- Apply daily a small amount olf Topical Estrogen (e.g. Premarin Cream, Estrace Cream) to Urethral area
- Similar management as Labial Fusion
VIII. References
- Claudius and Willner in Herbert (2019) EM:Rap 19(1): 2-4