Urethral prolapse in prepubertal females: Report of seven cases.

Urethral prolapse is a rare lesion in female children, with a suggested incidence of one in 5000 in China. Most of the cases reported in children have been in girls of African descent. In this report, we present seven cases of Chinese pediatric patients with urethral prolapse. Patient ages ranged from 2 to 8 years. They all presented with a protruding mass in the vaginal opening and bleeding. Diagnosis was confirmed with the combination of clinical manifestation and supplementary examinations. The patients were treated with either conservative therapy (two of the seven patients) or surgical intervention (five of the seven patients). During a 2-week to 6-year follow-up, no case recurred. The literature on urethral prolapse is reviewed.