16/05/2026
A 10 years old girl was referred with the complaints of “private part bleeding and a mass after cycling”. During the first 2 weeks of symptoms, she had visited three different doctors with possible delayed recognition of her diagnosis. After one more week (total 3 weeks) of medical therapy, the indication for surgery was worsening of symptoms and failure of medical management.
Examination under anaesthesia and cystoscopy revealed a complete urethra prolapse. Dilute adrenaline was injected into the pr*****ed mucosa. The prolapse was excised in elliptical segments, and the edges closed with interrupted absorbable sutures. Sub-centimetre segments of mucosa were left between the excised specimens. The urethra prolapse was reduced, with no recurrence demonstrated on Valsalva maneuver.
Post-operatively, her symptoms resolved. Oral antibiotics, sitz baths, antimicrobial cream and topical estrogen were administered. There was no recurrent urethra prolapse or stricture. The aim of this case report is to increase awareness of the urethral prolapse in the paediatric
population and its management.
