PFD Week 2016-Surgical Excision Of Urethral Prolapse

Surgical Excision Of Urethral Prolapse

Video Transcription

Video Summary

Urethral prolapse is a rare condition primarily seen in post-menopausal and prepubescent African-American females. The exact cause is unknown, but theories include muscular separation or hormonal contribution. Diagnosis is made through physical examination, distinguishing it from other periurethral masses. Mild cases are usually managed conservatively with topical estrogen therapy and sitz baths. However, surgical intervention may be necessary if symptoms persist or if there is vascular compromise. Surgical excision is the preferred method and involves reapproximating the urethral mucosa to the vaginal epithelium. Complications include urethral stenosis and urinary incontinence. Individualized management should consider medical history and symptom severity.

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Audra Hill, MD

Keywords

urethral prolapse

post-menopausal

prepubescent

African-American females

surgical intervention