Abstract

Urethral prolapse is the complete eversion of the distal urethral mucosa. It is a rare benign condition seen at extreme of age groups being most common with pre-pubertal girls of African descent. It is assumed to be related to hypoestrogenic states of these extreme age groups. It commonly present as vaginal bleeding and genital mass with or without urinary symptoms which may create a false panic over possible sexual assault. Conservative management may be offered to mild or asymptomatic cases while surgery remains the standard treatment modality with faster resolution of symptoms and lower recurrence. We present a case of a 14-year-old with urethral mucosal prolapse who had surgical excision of the prolapse with good outcome.