Urethral Prolapse Case Report: Surgical and Social Considerations in Senegal
We present three cases of urethral prolapse in prepubertal females in Senegal who presented with vulvar bleeding. Careful gynecologic and urologic physical exams were performed and revealed urethral origin and prolapse. Conservative versus surgical approaches were taken in different patients, but ul...
Saved in:
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-01-01
|
| Series: | Case Reports in Urology |
| Online Access: | http://dx.doi.org/10.1155/2022/5541416 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832547165089562624 |
|---|---|
| author | Mohamed Jalloh Jennifer Heibig Oumar Gaye William Ghaul Gabrielle Yankelevich Medina Ndoye Mouhamadou Moustapha Mbodji Ayun Cassell Lamine Niang Serigne Magueye Gueye |
| author_facet | Mohamed Jalloh Jennifer Heibig Oumar Gaye William Ghaul Gabrielle Yankelevich Medina Ndoye Mouhamadou Moustapha Mbodji Ayun Cassell Lamine Niang Serigne Magueye Gueye |
| author_sort | Mohamed Jalloh |
| collection | DOAJ |
| description | We present three cases of urethral prolapse in prepubertal females in Senegal who presented with vulvar bleeding. Careful gynecologic and urologic physical exams were performed and revealed urethral origin and prolapse. Conservative versus surgical approaches were taken in different patients, but ultimately, each patient received a urethral meatoplasty. Surgical excision of these masses yielded a full recovery in the patients. A careful review of the literature was then undertaken and showed that surgical excision or ligation of the prolapse is preferable to more conservative treatment. The case series article discusses the rare occurrence of urethral prolapse, as well as the epidemiology and prognostic and therapeutic implications of urethral prolapse in prepubertal females. Introduction. Urethral prolapse is a rare condition occurring mostly in young black females. It can be worrying to the parents as it often causes vulvar bleeding. Case Presentation. We present three cases of urethral prolapse in prepubertal females who presented with vulvar bleeding. Physical exams were performed and revealed urethral origin and prolapse. Each patient underwent a urethral meatoplasty and subsequently experienced a full recovery after respective follow-up of 2 years, 1 year, and 1 year. Conclusion. Urethral prolapse is a rare condition which can be managed successfully by surgery. Plain Language Summary. This case report on pediatric urethral prolapse showcases the different presentations and modalities of treatment, as the literature does not show that a specific treatment is always undertaken. In some countries, there are strong social considerations and they demonstrate difficulty separating sexual abuse from genitourinary pathologies, which are important to address in the treatment of these conditions. |
| format | Article |
| id | doaj-art-98514872df9242ef83cf306682fb05b1 |
| institution | Kabale University |
| issn | 2090-6978 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Urology |
| spelling | doaj-art-98514872df9242ef83cf306682fb05b12025-02-03T06:45:55ZengWileyCase Reports in Urology2090-69782022-01-01202210.1155/2022/5541416Urethral Prolapse Case Report: Surgical and Social Considerations in SenegalMohamed Jalloh0Jennifer Heibig1Oumar Gaye2William Ghaul3Gabrielle Yankelevich4Medina Ndoye5Mouhamadou Moustapha Mbodji6Ayun Cassell7Lamine Niang8Serigne Magueye Gueye9Service d’UrologiePhiladelphia College of Osteopathic Medicine (PCOM)Service d’UrologiePhiladelphia College of Osteopathic Medicine (PCOM)Philadelphia College of Osteopathic Medicine (PCOM)Service d’UrologieService d’UrologieService d’UrologieService d’UrologieService d’UrologieWe present three cases of urethral prolapse in prepubertal females in Senegal who presented with vulvar bleeding. Careful gynecologic and urologic physical exams were performed and revealed urethral origin and prolapse. Conservative versus surgical approaches were taken in different patients, but ultimately, each patient received a urethral meatoplasty. Surgical excision of these masses yielded a full recovery in the patients. A careful review of the literature was then undertaken and showed that surgical excision or ligation of the prolapse is preferable to more conservative treatment. The case series article discusses the rare occurrence of urethral prolapse, as well as the epidemiology and prognostic and therapeutic implications of urethral prolapse in prepubertal females. Introduction. Urethral prolapse is a rare condition occurring mostly in young black females. It can be worrying to the parents as it often causes vulvar bleeding. Case Presentation. We present three cases of urethral prolapse in prepubertal females who presented with vulvar bleeding. Physical exams were performed and revealed urethral origin and prolapse. Each patient underwent a urethral meatoplasty and subsequently experienced a full recovery after respective follow-up of 2 years, 1 year, and 1 year. Conclusion. Urethral prolapse is a rare condition which can be managed successfully by surgery. Plain Language Summary. This case report on pediatric urethral prolapse showcases the different presentations and modalities of treatment, as the literature does not show that a specific treatment is always undertaken. In some countries, there are strong social considerations and they demonstrate difficulty separating sexual abuse from genitourinary pathologies, which are important to address in the treatment of these conditions.http://dx.doi.org/10.1155/2022/5541416 |
| spellingShingle | Mohamed Jalloh Jennifer Heibig Oumar Gaye William Ghaul Gabrielle Yankelevich Medina Ndoye Mouhamadou Moustapha Mbodji Ayun Cassell Lamine Niang Serigne Magueye Gueye Urethral Prolapse Case Report: Surgical and Social Considerations in Senegal Case Reports in Urology |
| title | Urethral Prolapse Case Report: Surgical and Social Considerations in Senegal |
| title_full | Urethral Prolapse Case Report: Surgical and Social Considerations in Senegal |
| title_fullStr | Urethral Prolapse Case Report: Surgical and Social Considerations in Senegal |
| title_full_unstemmed | Urethral Prolapse Case Report: Surgical and Social Considerations in Senegal |
| title_short | Urethral Prolapse Case Report: Surgical and Social Considerations in Senegal |
| title_sort | urethral prolapse case report surgical and social considerations in senegal |
| url | http://dx.doi.org/10.1155/2022/5541416 |
| work_keys_str_mv | AT mohamedjalloh urethralprolapsecasereportsurgicalandsocialconsiderationsinsenegal AT jenniferheibig urethralprolapsecasereportsurgicalandsocialconsiderationsinsenegal AT oumargaye urethralprolapsecasereportsurgicalandsocialconsiderationsinsenegal AT williamghaul urethralprolapsecasereportsurgicalandsocialconsiderationsinsenegal AT gabrielleyankelevich urethralprolapsecasereportsurgicalandsocialconsiderationsinsenegal AT medinandoye urethralprolapsecasereportsurgicalandsocialconsiderationsinsenegal AT mouhamadoumoustaphambodji urethralprolapsecasereportsurgicalandsocialconsiderationsinsenegal AT ayuncassell urethralprolapsecasereportsurgicalandsocialconsiderationsinsenegal AT lamineniang urethralprolapsecasereportsurgicalandsocialconsiderationsinsenegal AT serignemagueyegueye urethralprolapsecasereportsurgicalandsocialconsiderationsinsenegal |