Atypical Presentation of Urethral Mucosal Prolapse in a Prepubertal Girl: A Case Report and Literature Review
Joseph N. Kwosah, Felix C.C. Wekere, Mkpe Abbey, Uduak S. Ocheche, Sokipirim E. Ikiroma, Ngeri Bapakaye, Faithwin Horsfall, Kingdom T. Okah, Bruce I, Paamia C. Nuka
Asian Research Journal of Gynaecology and Obstetrics · pp. 112–116 · Published 20 Mar 2025
10.9734/arjgo/2025/v8i1260Abstract
Urethral mucosal prolapse is a rare benign condition that is often misdiagnosed by clinicians and associated with fear of sexual assault by parents. It occurs in both children and postmenopausal women. We report a case of urethral mucosal prolapse in a 6-year-old pupil who presented with vaginal bleeding for which the parents thought she was sexually assaulted in school; to buttress the need for sensitisation on urethral mucosa prolapse in schools and during community outreaches. Vaginal examination revealed a well-circumscribed doughnut shaped fleshy mass at the external urethral meatus, for which a diagnosis of urethral mucosal prolapse was made. Although surgery is indicated in some cases, she was managed medically with topical oestrogen cream and the symptoms resolved. Prepubertal urethral mucosal prolapse is a benign condition and often misdiagnosed; early diagnosis and management will allay parental fears and prevent sequelae. Female education and community sensitization will increase awareness level of the condition.
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