Surgical excision of urethral prolapse.

作者信息

Hill Audra Jolyn, Siff Lauren, Vasavada Sandip P, Paraiso Marie Fidela R

机构信息

Center for Urogynecology and Pelvic Reconstructive Surgery, Obstetrics/Gynecology and Women's Health Institute, Cleveland Clinic, 9500 Euclid Avenue, Desk A81, Cleveland, OH, 44195, USA.

Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA.

出版信息

Int Urogynecol J. 2016 Oct;27(10):1601-3. doi: 10.1007/s00192-016-3021-9. Epub 2016 Apr 30.

DOI:10.1007/s00192-016-3021-9

PMID:27139717

Abstract

INTRODUCTION

Urethral prolapse is a rare condition that results in the eversion of the urethral mucosa through the distal urethra. Management is divided into two categories: conservative and surgical treatment.

METHODS

We present a case of urethral prolapse with severe symptoms that were minimally responsive to topical estrogen. Surgical excision was achieved with resection of the redundant urethral mucosa.

RESULTS

This video highlights surgical techniques that can be used for the excision of urethral prolapse.

CONCLUSIONS

The management of urethral prolapse should be individualized based on symptom severity, anatomical compromise, and surgical morbidity. Surgical management should be considered in cases of vascular compromise or failed medical management.

摘要