Diagnosis and treatment of urethral prolapse in children: 16 years’ experience with 89 Chinese girls

Abstract

ObjectiveTo review our experience and results in the diagnosis and treatment of urethral prolapse (UP) in Chinese girls. Patients and methodsWe conducted a retrospective chart review of 89 consecutive girls (aged <16years) with UP and without other complications, who received treatment for UP from January 1999 to January 2015 (a study period of 16years) at the Children’s Hospital of Chongqing Medical University, China. Data analysed included: age, symptoms, clinical findings, predisposing factors, management, and outcomes. ResultsThe presenting symptoms in the 89 girls were: mass (54 girls), bleeding (34), and dysuria/straining at micturition (one). In all, 14 patients received conservative treatment as their symptoms were mild, and 75 were successfully treated by excision of the prolapsed urethral mucosa or ligation over a Foley catheter, as their symptoms were severe and recurred too frequently to be managed conservatively. The mean postoperative length of stay for ligation was 7.76days and for excision was 4.57days. Ligation over a Foley catheter had a longer hospital stay. ConclusionsUP is a rare condition occurring in prepubertal girls, evidenced by a urethral mass and bleeding. Increased physician awareness and early recognition of UP avoids unnecessary examinations and patient anxiety.