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BMJ Case Reports 2018; doi:10.1136/bcr-2018-227040
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Strangulated urethral prolapse in a postmenopausal woman presenting as acute urinary retention

  1. Siddharth Pandey
  1. Urology, King George’s Medical University, Lucknow, Uttar Pradesh, India
  1. Correspondence to Dr Gaurav Garg, gougarg{at}gmail.com
  • Accepted 24 September 2018
  • Published 7 October 2018

Description 

A 48-year-old woman presented with acute urinary retention for 1 day and severe periurethral pain for last 3 days. She also revealed a history of occasional blood spotting of undergarments, dysuria and a protruding mass from the urethra for the last 3 months. Her medical/surgical and personal histories were unremarkable. Her obstetric history revealed presence of three normal vaginal deliveries and menopause at the age of 45 years. Local examination revealed presence of irreducible dusky red oedematous tender donut-shaped swelling measuring 2×2 cm around the urethral orifice suggestive of strangulated urethral prolapse (figure 1). A gentle attempt at reduction of the prolapsed mass was done under sedation which was successful following which …

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