Richardson D A, Hajj S N, Herbst A L
Obstet Gynecol. 1982 Jan;59(1):69-74.
Urethral prolapse denotes the complete circular eversion of the urethral mucosa through the external meatus. Two different entities exist: premenarcheal and menopausal urethral prolapse. Premenarcheal prolapse is predominantly asymptomatic and is usually brought to medical attention by vaginal bleeding. Trauma and medical conditions predisposing a patient to increased abdominal pressure are associated with prolapse in children. The menopausal group seeks medical attention primary because of the severity of urinary symptoms, ie, nocturia, urgency, tenesmus, dysuria, and frequency. Therapy for both groups has been traditionally accomplished by surgical manipulation-excision, surgical ligation, cautery, fulguration, and cryosurgery. The authors treated 5 premenarcheal female children with antibiotics, estrogen cream, and sitz baths for 2 weeks. In all the patients prolapse was resolved. The results, with follow-up for 4 to 12 months without recurrence, suggest that urethral prolapse in children can be managed without surgical intervention.
尿道脱垂是指尿道黏膜通过尿道口完全环形外翻。存在两种不同的情况：青春期前和绝经后尿道脱垂。青春期前脱垂主要无症状，通常因阴道出血而引起医疗关注。创伤和使患者腹压增加的疾病与儿童脱垂有关。绝经组主要因泌尿系统症状的严重程度而寻求医疗关注，即夜尿症、尿急、里急后重、排尿困难和尿频。传统上，两组的治疗都是通过手术操作来完成的，如切除、手术结扎、烧灼、电灼和冷冻手术。作者用抗生素、雌激素乳膏和坐浴治疗了5名青春期前女童，为期2周。所有患者的脱垂均得到解决。随访4至12个月无复发的结果表明，儿童尿道脱垂无需手术干预即可得到治疗。
