Urethral Prolapse in a Five-year-old Girl

Urethral prolapse is a rare cause of vaginal bleeding in prepubertal females and occurs most commonly in black people. It is characterized by a sliding outward of the urethral mucosa around the entire urethral meatus. Because it can present with vaginal bleeding in a child, it can be mistaken for sexual abuse. We report a five-year-old girl with urethral prolapse that was mistaken for complications of sexual abuse. She was treated by complete excision of the urethral prolapse with satisfactory result. Key words: Urethral prolapse, Vaginal bleeding, Female, Prepubertal. Nigerian Journal of Paediatrics Vol.31(1) 2004: 29-31