Current features of urethral mucosa prolapse among children in Ilorin, Kwara State, Nigeria
No Thumbnail Available
Date
2014-03
Journal Title
Journal ISSN
Volume Title
Publisher
The Nigerian Journal of General Practice
Abstract
Setting: Urethral mucosa prolapse is a benign gynaecological condition which is commoner among young black children. Objective: To evaluate the presentation, management, outcome and current status of urethral mucosa prolapse at atertiary centre. Design/ methods: A retrospective descriptive study of49 patients managed at the Obstetrics and Gynaecology department of the University of Ilorin Teaching Hospital, Ilorin. The case files of all patients who were managed from 1st January 2001 to 31st December 2010were retrieved from the medical records department and relevant information extracted. the results were expressed in tables and compared with an earlier study from the centre. Results: A total of 49 patients were managed, the prevalence of urethral mucosa prilapse 1.3% of all gynaecological admissions; all were Nigerians aged 3 to 12 years. The commonest presenting complaint was blood stain on underwear in 37[75.5%], 28[57.1%] presented with multiple symptoms and 32[65.3%] had failed medical treatment prior to presentation. Surgical management was 100% successful, minor post operative complications occurred in eightpatients [16.6%] and the commonest was urinary retention in 5[10.2%] patients. The results were generally similar to a previous study conducted a decade earlier in this centre. Conclusion: Urethral mucosa prolapse is not a common conditioninthis environment; medical and conservative management with higherfailure should be discouraged while surgical management which was curative with no longterm complication is highly recommened as the treatment choice.
Description
Keywords
Urethral mucosa prolapse, current features