Fornari Alexandre, Gressler Marina, Murari Jean Carlos Levay
Outpatient Micturition Disorders Clinic, Urology Department, Santa Casa de Misericórdia de Porto Alegre, Rua General Vitorino, 330/1101, Porto Alegre, RS 90020-170 Brazil.
J Obstet Gynaecol India. 2020 Apr;70(2):158-162. doi: 10.1007/s13224-019-01288-2. Epub 2019 Oct 31.
Urethral mucosal prolapse is most frequently seen in children and postmenopausal women, and extremely rare in young adult patients. In this context, we aim to describe our experience with this condition and compare our findings with the literature.
We reviewed the medical records of our outpatient micturition disorders clinic (between August 2014 and April 2017) for patients with a diagnosis of urethral mucosal prolapse, seeking to evaluate their demographic characteristics, presenting complaints, treatment, and outcomes.
We found 12 cases of urethral mucosal prolapse, including a mother and daughter and a reproductive-aged patient. Presenting symptoms included bleeding, urinary retention, partially thrombosed mucosa, and pain. Misdiagnosis was common and caused treatment delay, even in some very symptomatic patients.
Urethral mucosal prolapse is a readily diagnosed condition and often associated with complications in our series. Proper diagnosis is key to successful, timely treatment. Descriptive studies such as this are important to raise awareness of this diagnosis and improve patient care.
尿道黏膜脱垂最常见于儿童和绝经后女性，在年轻成年患者中极为罕见。在此背景下，我们旨在描述我们对这种疾病的诊治经验，并将我们的发现与文献进行比较。
我们回顾了门诊排尿障碍诊所（2014年8月至2017年4月）诊断为尿道黏膜脱垂患者的病历，以评估他们的人口统计学特征、就诊主诉、治疗方法及治疗结果。
我们发现了12例尿道黏膜脱垂病例，包括一对母女和一名育龄患者。就诊症状包括出血、尿潴留、黏膜部分血栓形成及疼痛。误诊很常见，甚至在一些症状非常明显的患者中也导致了治疗延误。
在我们的病例系列中，尿道黏膜脱垂是一种易于诊断的疾病，且常伴有并发症。正确诊断是成功、及时治疗的关键。这样的描述性研究对于提高对该诊断的认识和改善患者护理非常重要。
