Unusual Prolapse of Anterior Urethral Wall Presenting as a Vulval Mass in a Woman

Chau-Jye Fong ； Chang-Chung Chen ； Yun-He Yen ； Bor-Shuh Cheng ； Nai-Phon Wang

《臺灣泌尿科醫學會雜誌》 20卷4期 (2009/12) Pp. 192-194

並列摘要

The female urethra is short and is fixed to the pelvic floor, so mobility of the urethra is limited except in conditions of pelvic floor weakness, which causes cystocele or urethral hypermobility with temporary descending of the urethra during increased intra-abdominal pressure. Urethral prolapse in female is uncommon and seen in most cases as a circumferential eversion of the urethral mucosa through the external urethral meatus. Urethral prolapse restricted to the anterior wall of the urethra presenting as a vulval mass is even most rare. We report a 73-year-old woman with the chief complaint of a palpable mass protruding from the vulva, which was finally diagnosed as a prolapse of the anterior urethral wall. The gross appearance, surgical management, and follow-up studies are presented.

並列關鍵字

female urethra ； urethral prolapse ； vulval mass