Skip to main content

Advertisement

SpringerLink
Log in

Urethral prolapse in premenopausal, healthy adult woman

  • Case Report
  • Published:
International Urogynecology Journal Aims and scope Submit manuscript

Abstract

Urethral prolapse is an uncommon clinical condition that is reported predominantly in children and postmenopausal women. We describe a case of a 39-year-old woman who presented at the emergency room with vaginal bleeding and pain related to Valsalva maneuver (lifting weight). She described several similar previous episodes, which started during her second pregnancy at 32 years of age. The episodes initially occurred every 6 months, but she did not seek medical assistance for 7 years, during which time symptoms became more frequent. She had no previous history of irradiation, pelvic infection, or urogenital surgery. During physical examination, a urethral prolapse was identified. Pelvic and urinary ultrasound (US) showed no other abnormality. The patient underwent cystourethroscopy and surgical excision of the urethral prolapse, with complete resolution of symptoms. Histopathology confirmed benign inflammatory urethral mucosa tissue with edema and vascular congestion.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

References

  1. Jiménez Parra JD, Cebrián Lostal JL, Lozano Uruñuel F, Alvarez BS (2010) Urethral prolapse in postmenopausical women. Actas Urol Esp 34(6):565–567

    Article  PubMed  Google Scholar 

  2. Eke N, Ugboma HA, Eke F (2005) Urethral prolapse in a woman in her reproductive age–a very rare occurrence. Niger J Med 14(4):431–433

    PubMed  CAS  Google Scholar 

  3. Ghoniem GM, Khater U (2006) Urethral prolapse after durasphere injection. Int Urogynecol J Pelvic Floor Dysfunct 17(3):297–298

    Article  PubMed  Google Scholar 

  4. Shurtleff BT, Barone JG (2002) Urethral prolapse: four quadrant excisional technique. J Pediatr Adolesc Gynecol 15(4):209–211

    Article  PubMed  Google Scholar 

  5. Ketab Z, Mikines KJ (2002) Postpartum urethral prolapse. Acta Obstet Gynecol Scand 81(3):268–269

    Article  PubMed  Google Scholar 

Download references

Conflicts of interest

None.

Author information

Authors and Affiliations

  1. Gynecology Department, Pontifícia Universidade Católica do Rio Grande do Sul, Avenida Ipiranga 6690, Centro Clínico, conjunto 612, CEP 90610-001, Jardim Botânico, Porto Alegre, Brazil

    Lucas Schreiner, Christiana Campani Nygaard & Fernando Anschau

  2. Serviço Integrado de Ginecologia de Alvorada e Cachoeirinha, Hospital de Alvorada - Fundação Universitária de Cardiologia, Alvorada, Brazil

    Lucas Schreiner, Christiana Campani Nygaard & Fernando Anschau

  3. Department of Gynecology Section, Urogynecology/ Reconstructive Pelvic Surgery St Georges Hospital, London, UK

    Christiana Campani Nygaard

Authors
  1. Lucas Schreiner
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Christiana Campani Nygaard
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Fernando Anschau
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Lucas Schreiner.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Schreiner, L., Nygaard, C.C. & Anschau, F. Urethral prolapse in premenopausal, healthy adult woman. Int Urogynecol J 24, 353–354 (2013). https://doi.org/10.1007/s00192-012-1820-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00192-012-1820-1

Keywords

Search

Navigation