Diagnosis and treatment of urethral mucosa prolapse in female children

Abstract

Objective To review the clinical characteristics of urethral prolapse in female children and summarize our experience of treatment. Methods A retrospective analysis of the clinical characteristics of 102 patients with urethral prolapse from January 2007 to December 2017 was conducted at The Children’s Hospital of Zhejiang University School of Medicine. The age of the patients ranged from 8-156 months with an median of 80 months. The presenting symptoms in the 102 girls were: bleeding in 57 patients (55.9%), mass in 31 patients (30.4%), and dysuria/ urinary frequency, urgent and pain in 14 patients (13.4%). In all, 58 patients were managed conservatively with Sitz baths as their masses were small, 39 underwent prolapse reduction under topical anesthesia and Sitz baths because their mass were large, and 5 patients were treated by excision of the prolapsed urethral mucosa with four-quadrant excisional technique because thrombosed urethral prolapse at first visit. Results A total of 89 patients were cured after conservative treatment (87.3%), 8 patients were converted to surgical treatment because frequent recurrence with conservative treatment. No urethral stricture, active hemorrhage and recurrent were found in 13 patients after operation. Conclusions The most common clinical manifestations of urethral prolapse are urethral mass and bleeding. Most patients can be cured by conservative treatment. The patients whose symptoms were severe or suffered from frequent recurrence of urethral prolapse should be managed with surgical excision. Key words: Urethral diseases; Mucosa prolapse; Child; Female; Treatment