| Surgical management of urethral prolapse in girls: 13 years' experience. | |
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MedLine Citation:
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PMID: 22077119 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To review our experience of managing urethral prolapse (UP) in girls. PATIENTS AND METHODS: A total of 21 girls, all of whom were Black and whose age range was 2-15 years, were diagnosed with UP between 1995 and 2008. Case notes were reviewed for age, symptoms, clinical findings, predisposing factors, management and outcomes. RESULTS: Presenting symptoms were: mass (n= 8), bleeding (n= 6), dysuria/straining at micturition (n= 6), discharge (n= 1) and constipation (n= 1). In all, 13 patients were managed conservatively because their symptoms were mild. Seven patients underwent prolapse reduction under general anaesthetic (GA). In one patient, an examination under anesthesia was done to confirm the diagnosis as bedside examination was not possible. Prolapse reduction was complete in only three patients. Two patients had partial reduction, which resolved over the next 3 months. Two patients continue to have minimal residual prolapse. A causative/precipitating factor was found in only one patient (severe chronic constipation). She had a recurrence 2 years after reduction. There were no other recurrences. CONCLUSIONS: UP in girls can be diagnosed clinically in most cases. Girls with mild symptoms can be managed conservatively. For girls with more significant symptoms, we recommend a simple reduction under GA. This may be curative, or may reduce the prolapse significantly. Surgical excision is almost never required. |
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Authors:
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Charlotte Holbrook; Devesh Misra |
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Publication Detail:
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Type: Journal Article Date: 2011-11-11 |
Journal Detail:
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Title: BJU international Volume: 110 ISSN: 1464-410X ISO Abbreviation: BJU Int. Publication Date: 2012 Jul |
Date Detail:
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Created Date: 2012-06-13 Completed Date: 2012-09-24 Revised Date: 2013-03-21 |
Medline Journal Info:
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Nlm Unique ID: 100886721 Medline TA: BJU Int Country: England |
Other Details:
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Languages: eng Pagination: 132-4 Citation Subset: IM |
Copyright Information:
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© 2011 THE AUTHORS. BJU INTERNATIONAL © 2011 BJU INTERNATIONAL. |
Affiliation:
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Department of Paediatric Surgery, Royal London Hospital, Whitechapel, London, UK. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent African Americans Child Child, Preschool Female Humans Prolapse Recurrence Urethral Diseases / diagnosis, surgery*, therapy |
| Comments/Corrections | |
Comment In:
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J Urol. 2013 Mar;189(3):1088
[PMID:
23394671
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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