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2010, Number 1

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Bol Med Hosp Infant Mex 2010; 67 (1)

Partial prolapse of the urethral mucosa in young girls: review of two cases surgically treated by a new approach

Martínez CA, Rosales MAP
Full text How to cite this article

Language: Spanish
References: 8
Page: 58-62
PDF size: 163.12 Kb.


Key words:

mucosa urethral prolapse, partial type, surgical approach.

ABSTRACT

Background: Prolapse of the urethral mucosa in young girls is an uncommon condition. It occurs most often in prepubertal black girls between 3 and 10 years old, but it also occurs in other races. Constipation, urinary infection and vaginal bleeding accompany this pathology. It is classified as circular or partial. We report the surgical performance for the circular type of prolapse using the Kelly Burnham technique.
Case report: We report the cases of partial urethral prolapse in two Latino children of 9 and 19 months old who were surgically treated by excision of the prolapsed mucosa and suture of the remaining mucosa with vicryl 3-0. Surgery was performed under general anesthesia at Gómez Palacio General Hospital in Durango, Mexico.
Conclusion: Partial urethral prolapse in young girls surgically treated using a different approach has not been published in the literature. The procedure obtained favorable results in both patients and there were no postoperative complications. After 1-year of follow-up, there were no recurrences.


REFERENCES

  1. Juriy ER, Vadim GG, Evgeny BA. Prolapse of uretral mucosa in white female children: experience with 58 cases. J Pediatr Surg 1997;32:423-425.

  2. Valeri E, Gilchrist BF, Frischer J, Scriven R, Klotz DH, Ramenofsky ML. Diagnosis and treatment of urethral prolapse in children. Pediatr Urol 1999;54:1082-1084.

  3. Venugopal S, Duncan ND, Carpenter R. Urethral prolapse in girls. A series of 27 cases. Pediatr Surg Int 1995;10:115-117.

  4. Eduardo TF, Samuel D, Mary AS, Fernando V. Urethral prolapse in children. Urology 1993;41:240-242.

  5. Zoran DK, Stojan MZ. Urethral prolapse and vestibular fistula. Pediatr Surg Int 1994;9:529-530.

  6. John FR. Conservative management of urethral prolapse in children. Urology 1982;19:505-506.

  7. Lowe FC, Hill GS, Jeffs RD, Brendles CB. Urethral prolapse in children: insights into ethiology and management. J Urol 1986;135:100-103.

  8. Raymond Rackley. Urethral prolapse (accessed on 15-06-2006). Available at: http://emedicine.medscape.com/article/443165-overview.




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C?MO CITAR (Vancouver)

Bol Med Hosp Infant Mex. 2010;67