Urethral prolapseUUrethral prolapseUrethral prolapseEnglishUrologyPreschooler (2-4 years);School age child (5-8 years)UrethraUrethraConditions and diseasesCaregivers Adult (19+)NA2019-08-07T04:00:00ZJoley Johnstone RN, BScN; Maria Sierralta Born, MD8.1000000000000060.50000000000001041.00000000000Health (A-Z) - ConditionsHealth A-Z<p>Urethral prolapse occurs when a girl's urethra becomes swollen and sticks out. Learn about what causes urethral prolapse and how it is treated.</p><h2>What is urethral prolapse?</h2><p>The urethra is the tube that connects the bladder to the outside of the body. Urine (pee) passes through the urethra. Urethral prolapse occurs when the inner lining of the urethra sticks out through the opening of the urethra. When this happens, the opening of the urethra looks like a small purple or red donut and seems larger than normal.</p><p>Urethral prolapse happens most commonly to school-aged girls before puberty.</p> <figure class="asset-c-80"> <span class="asset-image-title">Urethral prolapse</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Urethral_prolapse_MED_ILL_EN.png" alt="Identification of clitoris, vaginal opening, labia minora, labia majora with normal urethra and with enlarged urethral area" /> <figcaption class="asset-image-caption">The urethra is a narrow tube that connects the bladder with the outside of the body. Urine passes through the urethra. Urethral prolapse occurs when the inner lining of the urethra protrudes through the opening of the urethra. The urethra appears larger than normal and is purple or red and circular.</figcaption> </figure><h2>Key points</h2> <ul> <li>Urethral prolapse usually happens to school-aged girls. </li> <li>Often the condition is not painful, but the swelling can cause discomfort.</li> <li>Urethral prolapse is treated with special creams and baths. Sometimes surgery is needed. </li> <li>Urethral prolapse can happen again, even after treatment. </li> </ul><h2>Urethral prolapse causes swelling and irritation</h2> <p>Sometimes, there is bleeding from around the outside of the opening of the urethra. Usually, parents notice the condition when they see a small amount of blood in their child's diaper or underwear. It is often not painful for the child, but there can be some discomfort and pain when she urinates or wipes. Blood in the urine is uncommon.<br></p><h2>Urethral prolapse can be caused by different things</h2> <p>The exact cause of urethral prolapse is not known. It may happen if the tissues around the urethra are weak. It often happens before puberty starts, when a girl has low levels of the hormone estrogen. Black and Hispanic girls are more at risk for getting urethral prolapse. It is also more likely to happen to girls who have a history of heavy coughing, constipation, obesity or genital trauma. All these conditions can increase pressure inside the belly, which may lead to urethral prolapse. </p><h2>Diagnosing urethral prolapse</h2> <p>If your daughter has any bleeding from her urethra or any redness in the area, she should be seen by her doctor. Her doctor may then decide to refer her to a gynaecology or urology specialist. </p> <p>The doctor will ask questions about your child's health. The doctor will also ask about recent coughing or constipation, which may have caused the prolapse. </p> <p>Your daughter will also need a physical examination. Before your child is examined, the doctor will tell her what will happen during the examination. That way, your child will feel comfortable with the examination and will not have a painful or scary experience. </p> <p>The doctor may also want to make sure there is no infection in the area. To do this, the doctor might take a small swab from the affected area. A swab is a small fluid sample taken with a cotton-tip swab. </p> <p>The doctor will also want to make sure that your child can urinate without problems.</p> <p>If there is bleeding and the doctor cannot see where it is coming from, more examinations may be needed. Examinations of this type are sometimes done under sedation. Sedation is medicine that makes your child sleepy and more comfortable. </p><h2>Treating urethral prolapse</h2><h3>Estrogen cream</h3><p>Your doctor may prescribe a hormone cream called Premarin. Premarin is an estrogen cream. Put a pea-sized amount directly on the reddened area once or twice a day. Use a cotton-tip swab or your fingertip. </p><p>Premarin is usually prescribed for a short time until the urethral prolapse gets better. If Premarin is used in large amounts or for a long time, your daughter's breasts may grow a little. This is a harmless and temporary side effect. Your child's breasts will return to the normal size when treatment with Premarin stops. </p><h3>Sitz baths</h3><p>A warm, shallow sitz bath twice a day for 15 to 20 minutes will help the urethral prolapse area heal and keep the area clean. Girls with urethral prolapse should not take bubble baths or use strong soaps. These can irritate the skin. </p><h3>Antibiotics</h3><p>The doctor will prescribe antibiotics only if your daughter also has an infection. Antibiotics do not treat the urethral prolapse itself.</p><h3>Surgery</h3><p>Sometimes, treatment with Premarin cream and sitz baths do not resolve the urethral prolapse or urethral prolapse comes back. Your doctor may suggest surgery to reduce the prolapse by pushing back the inner lining of the urethra that is sticking out or to remove the prolapse tissue if: </p><ul><li>the prolapse does not get better with cream and baths </li><li>the prolapse gets better but then comes back </li><li>your child has persistent bleeding from the prolapse, severe pain or trouble voiding (urinating)<br></li></ul><p>If your child does need surgery, she will receive sedation for the operation. After the operation, your child may have a catheter in her urethra for a couple of days to help her urinate. She will be given pain medicine and should begin treatments with Premarin cream and sitz baths again. </p><h3>Management of other conditions</h3><p>Other conditions such as heavy coughing, constipation, obesity or genital trauma may lead to urethral prolapse. If one of these conditions is identified as a cause for your child’s urethral prolapse, it should be managed to prevent further episodes.</p>
Prolapsus urétralPProlapsus urétralUrethral prolapseFrenchUrologyPreschooler (2-4 years);School age child (5-8 years)UrethraUrethraConditions and diseasesCaregivers Adult (19+)NA2019-08-07T04:00:00ZJoley Johnstone RN, BScN; Maria Sierralta Born, MDHealth (A-Z) - ConditionsHealth A-Z<p>Le prolapsus urétral survient quand l’urètre d’une fille enfle et sort du corps. Vous en apprendrez davantage sur les causes et le traitement du prolapsus urétral.</p><h2>Qu’est-ce que le prolapsus urétral?</h2><p>L’urètre est le tube qui lie la vessie à l’extérieur du corps. L’urine passe dans l’urètre. Le prolapsus urétral survient quand la paroi interne de l’urètre sort à partir de l’ouverture de l’urètre. Quand cela se produit, l’ouverture de l’urètre ressemble à un beignet (donut) violet ou rouge et a l’air plus grande que la normale. </p><p>Le prolapsus urétral se produit habituellement chez les filles avant l’âge de la puberté.</p> <figure class="asset-c-80"> <span class="asset-image-title">Prolapsus de l'urètre</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Urethral_prolapse_MED_ILL_FR.png" alt="Clitoris, ouverture du vagin, et petites et grandes lèvres avec urètre normal et avec zone urétrale hypertrophiée" /> <figcaption class="asset-image-caption">L'urètre est un tube étroit qui relie la vessie à l'extérieur du corps. L'urine passe par l'urètre. Un prolapsus de l'urètre se produit lorsque la paroi intérieure de l'urètre sort de l'ouverture de l'urètre. L'urètre semble plus gros que coutume et il est violet ou rouge et circulaire. </figcaption> </figure><h2>À retenir</h2> <ul> <li>Le prolapsus urétral survient la plupart du temps chez les filles d’âge scolaire. </li> <li>Souvent, la pathologie n’est pas douloureuse, mais l’enflure peut causer de l’inconfort. </li> <li>Le prolapsus urétral est soigné à l’aide de crèmes spéciales et de bains. Parfois, une opération est nécessaire. </li> <li>Le prolapsus urétral peut survenir de nouveau, même après le traitement. </li> </ul><h2>Le prolapsus urétral cause une enflure et de l’irritation</h2> <p>Parfois, on constate des saignements autour de l’ouverture de l’urètre. Habituellement, les parents remarquent la situation quand ils voient une petite quantité de sang dans la couche ou les sous-vêtements de l’enfant. La pathologie est souvent indolore, mais l’enfant peut sentir de la douleur quand elle urine et s’essuie. Le sang dans l'urine est peu fréquente.<br></p><h2>Le prolapsus urétral peut être causé par divers facteurs<br></h2> <p>La cause exacte du prolapsus urétral est inconnue. Il peut survenir si les tissus qui entourent l’urètre ne sont pas très résistants, et il survient souvent avant la puberté, quand les taux d’œstrogène des filles sont faibles. Les filles de race noire et d’origine hispanique sont plus à risque d’avoir un prolapsus urétral. La pathologie est aussi plus fréquente chez les filles qui ont des antécédents de toux intense, de constipation, d’obésité ou de traumatisme génital. Tous ces facteurs peuvent faire augmenter la pression dans le ventre, ce qui peut mener au prolapsus.</p><h2>Diagnostic du prolapsus urétral</h2> <p>Si votre fille a des saignements de l’urètre ou du vagin, ou des rougeurs dans cette région, elle devrait consulter son médecin. Son médecin pourraient la référer à un spécialiste de gynécologie ou d’urologie.</p> <p>Le médecin posera des questions sur la santé de votre enfant. Il voudra aussi savoir si votre fille tousse ou a été constipée récemment, ce qui pourrait avoir causé le prolapsus.</p> <p>Votre fille aura aussi besoin d'un examen physique. Avant que l’on examine votre fille, le médecin lui dira ce qui va se passer, pour qu’elle se sente à l'aise et que l’expérience ne soit pas douloureuse ou effrayante.<br></p> <p>Le médecin voudra aussi s’assurer qu’il n’y a aucune infection. Pour ce faire, il pourrait prendre un frottis de la région touchée. Un frottis est un petit échantillon de liquide recueilli à l’aide d’un coton-tige.</p> <p>Le médecin voudra aussi s’assurer que votre enfant peut uriner sans problème.</p> <p>S’il y a des saignements et que le médecin ne peut pas voir d’où ils viennent, un examen approfondi pourrait être nécessaire. Les examens de ce type sont parfois faits après l’administration d’un sédatif. Le sédatif endort votre enfant et le rend confortable. </p><h2>Traitement du prolapsus urétral</h2><h3>Crème d’oestrogène</h3><p>Votre médecin pourrait prescrire une crème hormonale appelée Premarin. Le Premarin est une crème d’œstrogène. Appliquer une petite noix de crème directement sur le site qui est rouge 1 à 2 fois par jour. Utilisez un coton-tige ou votre doigt.</p><p>Le Premarin est habituellement prescrit à court terme, jusqu’à ce que le prolapsus urétral s’améliore. Si le Premarin est utilisé en grandes quantités ou pendant longtemps, les seins de votre fille pourraient pousser un peu. C’est un effet secondaire sans danger et temporaire. Les seins de votre enfant retrouveront leur taille normale à la fin du traitement au Premarin. </p><h3>Bains de siège</h3><p>Un bain de siège dans de l’eau chaude et peu profonde 2 fois par jour pendant 15 à 20 minutes aidera le prolapsus urétral à guérir et à garder l’endroit propre. Les filles atteintes de prolapsus urétral ne doivent pas prendre de bains moussants ni utiliser des savons parfumés, car ils irritent la peau.</p><h3>Antibiotiques</h3><p>Le médecin prescrira des antibiotiques seulement si votre fille a aussi une infection. Les antibiotiques ne traitent pas le prolapsus lui-même.</p><h3>Opération</h3><p>Parfois, le traitement à l’aide de la crème de Premarin et de bains de siège ne soigne pas le prolapsus urétral ou le prolapsus urétral réapparaît. Votre médecin pourrait suggérer de réduire le prolapsus par repousser le tissu de l'urètre qui sort du corps ou pour retirer le tissu si :</p><ul><li>la crème et les bains ne font pas s’améliorer pas la situation;<br></li><li>le prolapsus s’améliore, mais empire par la suite;</li><li>votre enfant saigne beaucoup du prolapsus ou elle éprouve une douleur aiguë ou de difficulté à uriner.<br></li></ul><p>Si votre enfant doit se faire opérer, on lui administra un sédatif pour l’opération. Après l’opération, votre enfant pourrait avoir un cathéter dans son urètre pour quelques jours pour l'aider à uriner. On lui donnera des médicaments contre la douleur, et on lui demandera de reprendre les traitements avec la crème de Premarin et les bains de siège.</p><h3>Prise en charge d'autres troubles</h3><p>D'autres troubles comme le toux intense, la constipation, l’obésité ou le traumatisme génital pourront mener au prolapsus urétral. Si l'on identifie une de ces conditions comme cause du prolapsus urétral de votre enfant, cette condition devrait être contrôlée afin de prévenir de futurs épisodes de prolapsus urétral.<br></p>

 

 

 

 

Urethral prolapse886.000000000000Urethral prolapseUrethral prolapseUEnglishUrologyPreschooler (2-4 years);School age child (5-8 years)UrethraUrethraConditions and diseasesCaregivers Adult (19+)NA2019-08-07T04:00:00ZJoley Johnstone RN, BScN; Maria Sierralta Born, MD8.1000000000000060.50000000000001041.00000000000Health (A-Z) - ConditionsHealth A-Z<p>Urethral prolapse occurs when a girl's urethra becomes swollen and sticks out. Learn about what causes urethral prolapse and how it is treated.</p><h2>What is urethral prolapse?</h2><p>The urethra is the tube that connects the bladder to the outside of the body. Urine (pee) passes through the urethra. Urethral prolapse occurs when the inner lining of the urethra sticks out through the opening of the urethra. When this happens, the opening of the urethra looks like a small purple or red donut and seems larger than normal.</p><p>Urethral prolapse happens most commonly to school-aged girls before puberty.</p> <figure class="asset-c-80"> <span class="asset-image-title">Urethral prolapse</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Urethral_prolapse_MED_ILL_EN.png" alt="Identification of clitoris, vaginal opening, labia minora, labia majora with normal urethra and with enlarged urethral area" /> <figcaption class="asset-image-caption">The urethra is a narrow tube that connects the bladder with the outside of the body. Urine passes through the urethra. Urethral prolapse occurs when the inner lining of the urethra protrudes through the opening of the urethra. The urethra appears larger than normal and is purple or red and circular.</figcaption> </figure><h2>Key points</h2> <ul> <li>Urethral prolapse usually happens to school-aged girls. </li> <li>Often the condition is not painful, but the swelling can cause discomfort.</li> <li>Urethral prolapse is treated with special creams and baths. Sometimes surgery is needed. </li> <li>Urethral prolapse can happen again, even after treatment. </li> </ul><h2>Urethral prolapse causes swelling and irritation</h2> <p>Sometimes, there is bleeding from around the outside of the opening of the urethra. Usually, parents notice the condition when they see a small amount of blood in their child's diaper or underwear. It is often not painful for the child, but there can be some discomfort and pain when she urinates or wipes. Blood in the urine is uncommon.<br></p><h2>Urethral prolapse can be caused by different things</h2> <p>The exact cause of urethral prolapse is not known. It may happen if the tissues around the urethra are weak. It often happens before puberty starts, when a girl has low levels of the hormone estrogen. Black and Hispanic girls are more at risk for getting urethral prolapse. It is also more likely to happen to girls who have a history of heavy coughing, constipation, obesity or genital trauma. All these conditions can increase pressure inside the belly, which may lead to urethral prolapse. </p><h2>Diagnosing urethral prolapse</h2> <p>If your daughter has any bleeding from her urethra or any redness in the area, she should be seen by her doctor. Her doctor may then decide to refer her to a gynaecology or urology specialist. </p> <p>The doctor will ask questions about your child's health. The doctor will also ask about recent coughing or constipation, which may have caused the prolapse. </p> <p>Your daughter will also need a physical examination. Before your child is examined, the doctor will tell her what will happen during the examination. That way, your child will feel comfortable with the examination and will not have a painful or scary experience. </p> <p>The doctor may also want to make sure there is no infection in the area. To do this, the doctor might take a small swab from the affected area. A swab is a small fluid sample taken with a cotton-tip swab. </p> <p>The doctor will also want to make sure that your child can urinate without problems.</p> <p>If there is bleeding and the doctor cannot see where it is coming from, more examinations may be needed. Examinations of this type are sometimes done under sedation. Sedation is medicine that makes your child sleepy and more comfortable. </p><h2>Treating urethral prolapse</h2><h3>Estrogen cream</h3><p>Your doctor may prescribe a hormone cream called Premarin. Premarin is an estrogen cream. Put a pea-sized amount directly on the reddened area once or twice a day. Use a cotton-tip swab or your fingertip. </p><p>Premarin is usually prescribed for a short time until the urethral prolapse gets better. If Premarin is used in large amounts or for a long time, your daughter's breasts may grow a little. This is a harmless and temporary side effect. Your child's breasts will return to the normal size when treatment with Premarin stops. </p><h3>Sitz baths</h3><p>A warm, shallow sitz bath twice a day for 15 to 20 minutes will help the urethral prolapse area heal and keep the area clean. Girls with urethral prolapse should not take bubble baths or use strong soaps. These can irritate the skin. </p><h3>Antibiotics</h3><p>The doctor will prescribe antibiotics only if your daughter also has an infection. Antibiotics do not treat the urethral prolapse itself.</p><h3>Surgery</h3><p>Sometimes, treatment with Premarin cream and sitz baths do not resolve the urethral prolapse or urethral prolapse comes back. Your doctor may suggest surgery to reduce the prolapse by pushing back the inner lining of the urethra that is sticking out or to remove the prolapse tissue if: </p><ul><li>the prolapse does not get better with cream and baths </li><li>the prolapse gets better but then comes back </li><li>your child has persistent bleeding from the prolapse, severe pain or trouble voiding (urinating)<br></li></ul><p>If your child does need surgery, she will receive sedation for the operation. After the operation, your child may have a catheter in her urethra for a couple of days to help her urinate. She will be given pain medicine and should begin treatments with Premarin cream and sitz baths again. </p><h3>Management of other conditions</h3><p>Other conditions such as heavy coughing, constipation, obesity or genital trauma may lead to urethral prolapse. If one of these conditions is identified as a cause for your child’s urethral prolapse, it should be managed to prevent further episodes.</p><h2>Stopping urethral prolapse from happening again</h2> <p>Sometimes, urethral prolapse happens again after treatment. Sometimes the urethral prolapse re-occurs when a child coughs or strains while going to the bathroom. </p> <p>Here are some things you and your daughter can do to help prevent urethral prolapse from happening again:</p> <ul> <li>If your daughter is coughing a lot, talk to your doctor.<br></li> <li>Have your daughter drink lots of fluids and eat foods with lots of fibre. This will help prevent constipation, which can lead to straining while going to the bathroom. If your child becomes constipated, talk to your doctor or pharmacist about other medicines to help with constipation. </li> <li>Avoid strong deodorant soaps and bubble baths. </li> <li>Put a barrier cream such as petroleum jelly (Vaseline) on the area to keep it moist between uses of the Premarin cream. </li> <li>Have your daughter pat dry instead of wipe dry after using the bathroom.</li> </ul>https://assets.aboutkidshealth.ca/akhassets/Urethral_prolapse_MED_ILL_EN.pngUrethral prolapseFalse