RT Book, Section
A1 Dooley-Hash, Suzanne
A1 Knoop, Kevin J.
A2 Knoop, Kevin J.
A2 Stack, Lawrence B.
A2 Storrow, Alan B.
A2 Thurman, R. Jason
SR Print(0)
ID 1181041653
T1 Urethral Prolapse
T2 The Atlas of Emergency Medicine, 5e
YR 2021
FD 2021
PB McGraw-Hill
PP New York, NY
SN 9781260134940
LK accessmedicine.mhmedical.com/content.aspx?aid=1181041653
RD 2024/04/20
AB Urethral  prolapse  is  rare.  It  occurs  most  commonly  in  prepubertal  black  females  and  postmenopausal  white  women.  Symptoms  such  as  vaginal  bleeding  and  urinary  complaints  are  common  in  postmenopausal  women,  but  children  are  frequently  asymptomatic.  A  large  prolapse  may  become  strangulated  and  result  in  pain,  bleeding,  and  urinary  symptoms.  Examination  reveals  a  protrusion  of  the  distal  urethra  through  the  meatus  that  appears  as  a  donut-shaped  mass  at  the  anterior  vaginal  wall.  Diagnosis  is  confirmed  on  identification  of  the  urethral  meatus  as  the  central  opening  in  the  prolapsed  tissues.  Urethral  catheterization  may  be  required  if  direct  observation  during  voiding  is  not  possible.