DOI: 10.36347/sjmcr.2016.v04i01.017

Pages: 47-49

Urethral prolapse is often reported in young girls and postmenopausal women in adult population. We present a case of strangulated urethral prolapse in a 68-year-old postmenopausal woman. She was referred to hospital because of bleeding from urethral mass and haematuria. Urogenital examination revealed an approximately 25 mm protruded urethral mucosa with edematous appearance. There were bleeding sites among patchy purple thrombotic areas suggesting strangulation. The protruded urethral segment was resected and the new urethral meatus was formed with relevant sutures. Histopathological examination revealed stratified squamous epithelium with profuse edematous changes and over-dilated veins beneath the mucosa. Postoperative period was uneventful.