Urethral prolapse in premenopausal, healthy adult woman
详细信息 查看全文
- 作者：Lucas Schreiner (1) (2)
Christiana Campani Nygaard (1) (2) (3)
Fernando Anschau (1) (2) - 关键词：Urethral prolapse ; Urethra ; Women ; Vaginal bleeding
- 刊名：International Urogynecology Journal
- 出版年：2013
- 出版时间：February 2013
- 年：2013
- 卷：24
- 期：2
- 页码：353-354
- 全文大小：95KB
- 参考文献：1. Jiménez Parra JD, Cebrián Lostal JL, Lozano Uru?uel F, Alvarez BS (2010) Urethral prolapse in postmenopausical women. Actas Urol Esp 34(6):565-67 CrossRef
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):431-33
3. Ghoniem GM, Khater U (2006) Urethral prolapse after durasphere injection. Int Urogynecol J Pelvic Floor Dysfunct 17(3):297-98 CrossRef
4. Shurtleff BT, Barone JG (2002) Urethral prolapse: four quadrant excisional technique. J Pediatr Adolesc Gynecol 15(4):209-11 CrossRef
5. Ketab Z, Mikines KJ (2002) Postpartum urethral prolapse. Acta Obstet Gynecol Scand 81(3):268-69 CrossRef - 作者单位：Lucas Schreiner (1) (2)
Christiana Campani Nygaard (1) (2) (3)
Fernando Anschau (1) (2)
1. Gynecology Department, Pontifícia Universidade Católica do Rio Grande do Sul, Avenida Ipiranga 6690, Centro Clínico, conjunto 612, CEP 90610-001, Jardim Botanico, Porto Alegre, Brazil
2. Servi?o Integrado de Ginecologia de Alvorada e Cachoeirinha, Hospital de Alvorada - Funda??o Universitária de Cardiologia, Alvorada, Brazil
3. Department of Gynecology Section, Urogynecology/ Reconstructive Pelvic Surgery St Georges Hospital, London, UK
文摘
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.