TY - CHAP M1 - Book, Section TI - Urethral Prolapse A1 - Dooley-Hash, Suzanne A1 - Knoop, Kevin J. A2 - Knoop, Kevin J. A2 - Stack, Lawrence B. A2 - Storrow, Alan B. A2 - Thurman, R. Jason PY - 2021 T2 - The Atlas of Emergency Medicine, 5e AB - Urethral prolapse is rare. It occurs most commonly in prepubertal black females and postmenopausal white women. Symptoms such as vaginal bleeding and urinary complaints are common in postmenopausal women, but children are frequently asymptomatic. A large prolapse may become strangulated and result in pain, bleeding, and urinary symptoms. Examination reveals a protrusion of the distal urethra through the meatus that appears as a donut-shaped mass at the anterior vaginal wall. Diagnosis is confirmed on identification of the urethral meatus as the central opening in the prolapsed tissues. Urethral catheterization may be required if direct observation during voiding is not possible. SN - PB - McGraw-Hill CY - New York, NY Y2 - 2024/03/29 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1181041653 ER -