Department of Obstetrics and Gynecology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Department of Obstetrics and Gynecology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan; Department of Obstetrics and Gynecology, Kaohsiung Municipal Siao-Gang Hospital, Kaohsiung, Taiwan.
Taiwan J Obstet Gynecol. 2020 Jan;59(1):165-166. doi: 10.1016/j.tjog.2019.11.029.
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.
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.
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.
尿道脱垂是一种罕见的临床病症，主要见于青春期前女童；绝经后尿道脱垂罕见，仅 5 例见于绝经前女性。嵌顿性尿道脱垂更为罕见。
一名 64 岁女性因尿潴留、阴道出血和突出肿块就诊。盆腔检查发现阴道口有一个红色的甜甜圈状肿块。患者在尝试复位脱垂物时感到不适。考虑为尿道脱垂，给予局部雌激素乳膏治疗。然而，三天后尿道黏膜充血且无收缩，遂行单纯切除术。截至投稿时，无复发。
尿道脱垂最常见的症状是阴道出血和可见的阴道肿块。尿道脱垂可通过体格检查初步诊断。对于复发或嵌顿性尿道脱垂，手术切除是一种很好的治疗方法，几乎没有并发症且成功率高。
