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Urine retention caused by urethral prolapse mimicking uterine prolapse.

Abstract：

OBJECTIVE:Urethral prolapse is a rare clinical condition, which has been reported mostly in prepubertal girls; few menopaused and only 5 cases of premenopausal women. Strangulated urethral prolapse is even rarer. CASE REPORT:A 64-year-old woman presented with urinary retention, painful vaginal bleeding and a protruding mass. Pelvic examination revealed a reddish doughnut-shaped mass located at introitus. The patient felt uncomfortable with attempts to reduce the presumed prolapse. Urethral prolapse was impressed and topical estrogen cream was prescribed. However, urethral mucosa became congested and without shrinkage three days later. As a result, simple excision was performed. No recurrence was noted at the time of manuscript submission. CONCLUSION:Most common symptoms of urethral prolapse are vaginal bleeding and visible vaginal mass. Urethral prolapse can be diagnosed primarily by physical examinations. Surgical excision is a good way to treat recurrence or strangulated urethral prolapse with almost no complications and high success rate.

journal_name

Taiwan J Obstet Gynecol

journal_title

Taiwanese journal of obstetrics & gynecology

authors

Hu TC,Ker CR,Long CY

doi

10.1016/j.tjog.2019.11.029

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

165-166

issue

1

eissn

1028-4559

issn

1875-6263

pii

S1028-4559(19)30296-7

journal_volume

59

pub_type

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