Urethral mucosa eversion

Introduction A female urethra disease in which the urethral mucosa and submucosal tissue are removed and turned over outside the urethra. The majority of the cases are children, followed by menopausal women.

Cause

Mainly due to the weakness of the urethral wall, may be due to congenital dysplasia, childbirth injury, post-menopausal tissue around the urethra atrophy or systemic weakness. It can occur suddenly after a sudden increase in intra-abdominal pressure (severe cough, sudden weight), or it can be gradually slowed down.

an examination

Related inspection

Urethral examination for urethral secretion examination

1. There may be urinary tract irritation such as frequent urination, urgency, and painful urination.

2. Hemorrhage at the urethral orifice was found after the bleeding of the urethra. The amount was more or less.

3. The urethral mass can be seen with a ring-shaped or semi-annular purplish red mass, the urethral opening is located in the center of the mass, and the urine is seen when the catheter is inserted. It can also be accompanied by infection, erosion, flaky necrosis or adhesion of pus moss, bloody serous secretions and odor.

Differential diagnosis

1. Ureteral cyst prolapse: The ectopic ureteral cyst is removed from the urethral orifice through the bladder neck and urethra, and becomes a large and purple-red mass resembling urethral mucosa prolapse. However, the ureteral cysts can be self-resetting, and sometimes the ureteral opening can be seen in the cyst. However, the catheter cannot be inserted from the center of the cyst.

2. Urethral meat sputum: the same as the more easily bleeding urethral mass, in contrast, the urethral meat sputum volume is small, the base often attached to the posterior wall of the urethra. After insertion of the catheter, a bright red polypoid mass was seen on one side of the catheter rather than a valgus wrap.

3. Urinary tract cancer: a urethral mass that is easy to hemorrhage. When the urethra is palpated, it can be found that the urethra is thickened, hardened, and the mass is hard. Inguinal lymph nodes and distant lymph nodes can be associated with increased and hardened metastatic signs. Biopsy can clarify its nature.

4. Bladder prolapse: refers to the lesion of the bladder through the urethra, which occurs when the abdominal pressure increases. The prolapsed bladder mucosal congestion and edema is dark red, similar to urethral mucosal prolapse. However, bladder prolapsed tumors are generally retractable, and sometimes the bladder triangle and ureteral opening are visible.

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