Le prolapsus de la muqueuse ur étrale chez la fillette: à propos de 12 cas et revue de la littérature

Conclusion Le prolapsus urétral est une pathologie rare. Son diagnostic est clinique. L’exérèse chirurgicale constitue le traitement radical du prolapsus urétral et donne de bons résultats. Objectives To report on the epidemiological, diagnostic, and therapeutic aspects of urethral prolapse. Patients and methods The current study is a descriptive cross-sectional study over a period of 8 years (January 2006-December 2013). It was conducted on 12 patients aged under 16 and managed for urethral prolapse in the pediatric surgery department of the hospital Aristide Le Dantec. We studied the following variables: frequency, age, predisposing factors, clinical signs and investigations, treatment and evolution. Results Our annual incidence was 1.5 cases. The average age for our patients was 4.02 years. Genital hemorrhage (11 cases) was the main reason for consultation followed by dysuria (8 cases). Physical examination revealed a circular swelling below the clitoris with a cathétérisable opening in its center in all our patients. Urine analysis and culture performed in 10 patients revealed a germ in 2 cases. Surgical resection of the prolapsed mucosa was performed in all of our patients and was associated with a muco-cutaneous suture in 7 cases. The outcome was always favorable. Conclusion The urethral prolapse is a rare disease. Its diagnosis is clinical. Surgical excision is the radical treatment of urethral prolapse and is associated with a favorable outome.
Source: African Journal of Urology - Category: Urology & Nephrology Source Type: research