RT Book, Section A1 Lindberg, Daniel M. A1 Chiesa, Antonia A1 Miller, Angie L. A2 Knoop, Kevin J. A2 Stack, Lawrence B. A2 Storrow, Alan B. A2 Thurman, R. Jason SR Print(0) ID 1181050773 T1 Mimics of Abuse: Medical Conditions 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=1181050773 RD 2024/04/18 AB Urethral prolapse is a condition that only occurs in females, usually in school-aged children. Patients will present with painless bleeding and, on exam, will have what appears as swelling, but is actually the prolapsed portion of the urethra. Urethral prolapse is commonly mistaken for vaginal injury. The etiology is unknown, but estrogen deficiency is thought to be a contributing factor. Other risk factors include increased intra-abdominal pressure that results from coughing or constipation and anatomic defects. Urethral prolapse is more common in African American girls.