Arıkan, M.G.; Ecer, G.; Türk, S.; Özdemir, İ.; Arda, E. Necrotic Urethral Prolapse Complicated by Urinary Retention: A Rare Case Report. Preprints2023, 2023050486. https://doi.org/10.20944/preprints202305.0486.v1
APA Style
Arıkan, M.G., Ecer, G., Türk, S., Özdemir, İ., & Arda, E. (2023). Necrotic Urethral Prolapse Complicated by Urinary Retention: A Rare Case Report. Preprints. https://doi.org/10.20944/preprints202305.0486.v1
Chicago/Turabian Style
Arıkan, M.G., İlker Özdemir and Ersan Arda. 2023 "Necrotic Urethral Prolapse Complicated by Urinary Retention: A Rare Case Report" Preprints. https://doi.org/10.20944/preprints202305.0486.v1
Abstract
Urethral prolapse (UP) is a rare condition in which the distal urethral mucosa protrudes circularly from the external urethral meatus. Urethral prolapse is seen in two age groups: prepubertal girls and postmenopausal women. The fact that it is seen in older women shows that it may be acquired. Causes of acquired UP include weakening of smooth muscle layers secondary to estrogen deficiency, chronic cough, chronic constipation, trauma, recurrent urinary tract infections, pelvic radiotherapy, and sexual abuse. The priority in treatment is conservative management, such as manual reduction, sitz baths, topical estrogen creams, and antibiotics. The general consensus is to switch to surgical treatment in patients who do not benefit from a conservative approach. In this case report, we describe the surgical treatment of a 56-year-old postmenopausal female patient with necrotic UP who presented with urinary retention.
Keywords
estrogen replacement therapy; genitourinary syndrome of menopause; urethral prolapse
Subject
Medicine and Pharmacology, Urology and Nephrology
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.