Usefulness of uroflowmetry for the management of urethral prolapse in a prepubertal girl

Abstract

Background: Urethral prolapse is defined as the eversion of the urethral mucosa at the level of the urethral meatus. It commonly presents as a vulvar mass, followed by bleeding and dysuria. However, no studies have reported on perioperative uroflowmetry results for pediatric urethral prolapse patients with dysuria. Herein, we report a urethral prolapse pediatric patient with dysuria who was successfully treated through surgery. Case presentation: A 5-year-old Asian girl complained of difficulty voiding for 6 months. Her mother discovered a bulging mass over her urethra. Uroflowmetry revealed a plateau-shaped curve. Conservative treatments were not effective, and abnormal UFM and dysuria continued. After surgery using the modified Kelly-Burnum method, symptoms resolved, and uroflowmetry parameters normalized. Conclusions: This is the first comparison of the pre- and post-operative uroflowmetry results of a pediatric patient with urethral prolapse. Uroflowmetry is a non-invasive tool useful for managing urethral prolapse in pediatric patients with dysuria.

Keywords

• Dysuria
• Pediatrics
• Case report
• Urethral prolapse
• Uroflowmetry