August 1957

Urethral Prolapse in Young Girls

Author Affiliations

Assistant in Pediatrics, The Jefferson Medical College of Philadelphia and The Jefferson Medical College Hospital.

AMA Am J Dis Child. 1957;94(2):196-199. doi:10.1001/archpedi.1957.04030030090014

Urethral prolapse has been discussed mainly in the adult gynecologic and urologic literature, but the condition is not unknown in children. This paper includes a discussion of the condition in young girls together with a report of three additional cases.

Case 1.—A 5-year-old Negro girl was admitted on Oct. 10, 1954, with a chief complaint of vaginal spotting of eight days' duration. Concurrently, she had an upper respiratory infection with a mild, nonproductive cough. Previous treatment consisted of penicillin administered intramuscularly and hot tub baths three times daily, following which she was asymptomatic for three or four days. Coincident with resumption of her usual activities the spotting recurred. There was no history of trauma or urinary symptoms prior to the onset of the presenting complaint.

Admission examination disclosed a well-developed well-nourished girl with a mild upper respiratory infection and an inflamed annular erythematous mass of prolapsed mucosa completely surrounding the

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