Diagnosis and treatment of urethral prolapse in children: 16 years’ experience with 89 Chinese girls
Objective: To review our experience and results in the diagnosis and treatment of urethral prolapse (UP) in Chinese girls. Patients and methods: We conducted a retrospective chart review of 89 consecutive girls (aged <16 years) with UP and without other complications, who received treatment for U...
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2017
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oai:doaj.org-article:3843ea04257344a1aaba6b1e31c0c8a42021-12-02T10:28:19ZDiagnosis and treatment of urethral prolapse in children: 16 years’ experience with 89 Chinese girls2090-598X10.1016/j.aju.2017.03.004https://doaj.org/article/3843ea04257344a1aaba6b1e31c0c8a42017-09-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X17300402https://doaj.org/toc/2090-598XObjective: To review our experience and results in the diagnosis and treatment of urethral prolapse (UP) in Chinese girls. Patients and methods: We conducted a retrospective chart review of 89 consecutive girls (aged <16 years) with UP and without other complications, who received treatment for UP from January 1999 to January 2015 (a study period of 16 years) at the Children’s Hospital of Chongqing Medical University, China. Data analysed included: age, symptoms, clinical findings, predisposing factors, management, and outcomes. Results: The presenting symptoms in the 89 girls were: mass (54 girls), bleeding (34), and dysuria/straining at micturition (one). In all, 14 patients received conservative treatment as their symptoms were mild, and 75 were successfully treated by excision of the prolapsed urethral mucosa or ligation over a Foley catheter, as their symptoms were severe and recurred too frequently to be managed conservatively. The mean postoperative length of stay for ligation was 7.76 days and for excision was 4.57 days. Ligation over a Foley catheter had a longer hospital stay. Conclusions: UP is a rare condition occurring in prepubertal girls, evidenced by a urethral mass and bleeding. Increased physician awareness and early recognition of UP avoids unnecessary examinations and patient anxiety.Yi WeiSheng-de WuTao LinDa-wei HeXu-liang LiGuang-hui WeiTaylor & Francis GrouparticleUrethral prolapseGirlsManagementChinaDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 15, Iss 3, Pp 248-253 (2017) |
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Urethral prolapse Girls Management China Diseases of the genitourinary system. Urology RC870-923 |
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Urethral prolapse Girls Management China Diseases of the genitourinary system. Urology RC870-923 Yi Wei Sheng-de Wu Tao Lin Da-wei He Xu-liang Li Guang-hui Wei Diagnosis and treatment of urethral prolapse in children: 16 years’ experience with 89 Chinese girls |
description |
Objective: To review our experience and results in the diagnosis and treatment of urethral prolapse (UP) in Chinese girls.
Patients and methods: We conducted a retrospective chart review of 89 consecutive girls (aged <16 years) with UP and without other complications, who received treatment for UP from January 1999 to January 2015 (a study period of 16 years) at the Children’s Hospital of Chongqing Medical University, China. Data analysed included: age, symptoms, clinical findings, predisposing factors, management, and outcomes.
Results: The presenting symptoms in the 89 girls were: mass (54 girls), bleeding (34), and dysuria/straining at micturition (one). In all, 14 patients received conservative treatment as their symptoms were mild, and 75 were successfully treated by excision of the prolapsed urethral mucosa or ligation over a Foley catheter, as their symptoms were severe and recurred too frequently to be managed conservatively. The mean postoperative length of stay for ligation was 7.76 days and for excision was 4.57 days. Ligation over a Foley catheter had a longer hospital stay.
Conclusions: UP is a rare condition occurring in prepubertal girls, evidenced by a urethral mass and bleeding. Increased physician awareness and early recognition of UP avoids unnecessary examinations and patient anxiety. |
format |
article |
author |
Yi Wei Sheng-de Wu Tao Lin Da-wei He Xu-liang Li Guang-hui Wei |
author_facet |
Yi Wei Sheng-de Wu Tao Lin Da-wei He Xu-liang Li Guang-hui Wei |
author_sort |
Yi Wei |
title |
Diagnosis and treatment of urethral prolapse in children: 16 years’ experience with 89 Chinese girls |
title_short |
Diagnosis and treatment of urethral prolapse in children: 16 years’ experience with 89 Chinese girls |
title_full |
Diagnosis and treatment of urethral prolapse in children: 16 years’ experience with 89 Chinese girls |
title_fullStr |
Diagnosis and treatment of urethral prolapse in children: 16 years’ experience with 89 Chinese girls |
title_full_unstemmed |
Diagnosis and treatment of urethral prolapse in children: 16 years’ experience with 89 Chinese girls |
title_sort |
diagnosis and treatment of urethral prolapse in children: 16 years’ experience with 89 chinese girls |
publisher |
Taylor & Francis Group |
publishDate |
2017 |
url |
https://doaj.org/article/3843ea04257344a1aaba6b1e31c0c8a4 |
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