A 5-Year Review of Urethral Mucosa Prolapse and Management at the Federal Medical Centre, Yenagoa, South-South Nigeria
P. C. Oriji
Department of Obstetrics and Gynaecology, Federal Medical Centre, Yenagoa, Bayelsa State, Nigeria.
D. C. Briggs
Department of Paediatrics and Child Health, Rivers State University Teaching Hospital, Port Harcourt, Rivers State, Nigeria.
D. O. Allagoa *
Department of Obstetrics and Gynaecology, Federal Medical Centre, Yenagoa, Bayelsa State, Nigeria.
C. Okechukwu
Department of Paediatrics and Child Health, Rivers State University Teaching Hospital, Port Harcourt, Rivers State, Nigeria.
*Author to whom correspondence should be addressed.
Abstract
Background: Urethral mucosa prolapse is a condition in which there is a circular complete eversion of the distal urethral mucosa through the external urethral meatus.
Objective: To determine the prevalence of urethral mucosa prolapse and its management plans at the Federal Medical Centre, Yenagoa, South-South, Nigeria.
Materials and Methods: This retrospective study was conducted between 1st January, 2016 and 31st December, 2020. Data from the patients’ case records were entered into a pre-designed proforma, and were analysed using statistical software (Statistical Product and Service Solutions for windows® version 25, SPSS Inc.; Chicago, USA). Results were presented in frequencies and percentages for categorical variables, and mean and standard deviation for continuous variable.
Results: Three patients were managed for childhood urethral mucosa prolapse in the 5-year period under review. The age range in this study was 5 – 7 years, with a mean of 6.67 years. They were all pre-menarcheal. They all had excision of the prolapsed urethral mucosa using the modified Kelly-Burnham (four-quadrant excisional) technique, following failed medical management.
Conclusion: Our study revealed that the prevalence of urethral mucosa prolapse in our environment is low, and the girls were all premenarcheal. The commonest presenting features were genital bleeding and genital swelling.
Keywords: Urethral mucosa prolapse, childhood, pre-menarcheal, Kelly-Burnham