PFD Week 2018-Approach to Urethral Prolapse

Video Transcription

Video Summary

In this video summary, urethral prolapse is discussed as a rare condition primarily affecting premenarchal girls and postmenopausal women. The causes of urethral prolapse are thought to be a lack of estrogen combined with chronic conditions like constipation or chronic obstructive pulmonary disease. The differential diagnosis includes urethral caruncles, condyloma acuminata, and malignancy, which can be ruled out with tissue biopsy. Conservative treatment with topical estrogen is recommended as first-line management, while surgical intervention is reserved for symptomatic cases. The four-quadrant excisional technique is described as a surgical procedure to treat urethral prolapse. Potential complications and a case study of a 58-year-old woman are also presented. No credits were provided. For more information, visit www.FEMA.gov.

Asset Subtitle

Neha Rana, MD

Meta Tag

Category Pelvic Organ Prolapse

Category Education

Keywords

urethral prolapse

estrogen deficiency

chronic conditions

surgical intervention

case study