Abstract
The female urethra is a short tubular structure 3-5.5cm in length, it is supported by the pubocervical fascia posteriorly. The sphincters are neither well developed or as strong as in the male. Urethral Prolapse is the circular eversion of urethral mucosa through the urethral meatus with vascular congestion and possible strangulation, Most authors believe urethral prolapse is restricted to the terminal urethra. Urethral caruncles are believed to arise from an ectropion of the posterior urethral wall. The growth of the caruncle is secondary to chronic irritation or infection, it is reported in girls had continuous urine dripping as in cases of urinary incontinence secondary to mengomyelocele. A urethral polyp is an irregularity existing at birth, it is usually a benign lesions composed of fibrous or fibroepithelial tissue but may include some smooth muscle, probably arise from prolapsing urothelium that has evolved into a polyp. The Skene’s glands, also known as the paraurethral glands, lesser vestibular glands, or paraurethral glands) are located on the anterior wall of the vagina, around the distal part of the urethra. Skene’s duct cysts are extremely rare abnormality in the female newborn, although the reported incidence of the lesion is between 1 in 2000 and 1 in 7000 live female births.
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References
Urethral Prolapse
Anveden-Hertzberg L, Gauderer MW, Elder JS. Urethral prolapse: an often misdiagnosed cause of urogenital bleeding in girls. Pediatr Emerg Care. 1995;11(4):212–4.
Redman JF. Conservative management of urethral prolapse in female children. Urology. 1982;19(5):505–6.
Adesiyun AG, Samaila MO. Childhood urethral mucosa prolapse: outcome of surgical treatment. Nig J Surg Res. 2006;8(1–2):65–6.
Urethral Caruncle
Türkeri L, Simşek F, Akdaş A. Urethral caruncle in an unusual location occurring in prepubertal girl. Eur Urol. 1989;16:153.
Conces MR, Williamson SR, Montironi R, et al. Urethral caruncle: clinicopathologic features of 41 cases. Hum Pathol. 2012;43:1400.
Urethral Polyps
Bertolotti A, González SG, Etcheverry R, Drut R. Giant congenital urethral polyp. J Pediatr Surg. 2008;43(6):1211–2.
Ben-Meir D, Yin M, Chow CW, Hutson JM. Urethral polyps in prepubertal girls. J Urol. 2005;174:1443–4.
CarriónLópez P, DomínguezHinarejos C, Serrano Durbá A, et al. Congenital fibroepithelial polyps of the urethra. Cir Pediatr. 2010;23(1):7–9.
Prolapsed Ectopic Ureterocele
Miller MA, Cornaby AJ, Nathan MS, Pope A, Morgan RJ. Prolapsed ureterocele: a rare vulval mass. Br J Urol. 1994;73(1):109–10.
Paraurethral Cyst
Dhapodkar S, Homayoon K. Paraurethral cysts in a female newborn. Open J Urol. 2011;1:48–9.
Wright JE. Paraurethral (Skene’s duct) cysts in the newborn resolve spontaneously. Pediatr Surg Int. 1996;11:191–2.
Cesarani F, Corsico M, Robba T, De Zan A. MR Imaging and endorectal sonographic appearance of a cyst of Skene’s ducts. Am J Roentgenol. 2000;175:1466–7.
Ceylan H, Hayri BO, et al. Paraurethral cyst: is conservative management always appropriate? Eur J Pediatr Surg. 2002;12:212–4.
Kimbrough Jr HM, Vaughan Jr ED. Skene’s duct cyst in a newborn: case report and review of the literature. J Urol. 1977;117(3):387.
Urethral Diverticulum (UD)
El-Nashar SA, Bacon MM, Kim-Fine S, Weaver AL, Gebhart JB, Klingele CJ. Incidence of female urethral diverticulum: a population-based analysis and literature review. Int Urogynecol J. 2014;25(1):73–9.
Aspera AM, Rackley RR, Vasavada SP. Contemporary evaluation and management of the female urethral diverticulum. Urol Clin North Am. 2002;29(3):617–24.
Foley CL, Greenwell TJ, Gardiner RA. Urethral diverticula in females. BJU Int. 2011;108 Suppl 2:20–3.
Fortunato P, Schettini M, Gallucci M. Diverticula of the female urethra. Br J Urol. 1997;80(4):628–32.
Hahn WY, Israel GM, Lee VS. MRI of female urethral and periurethral disorders. AJR Am J Roentgenol. 2004;182(3):677–82.
Persistent Urogenital Sinus (US)
Levitt MA, Peña A. Pitfalls in the management of newborn cloacas. Pediatr Surg Int. 2005;21(4):264–9.
Karlin G, Brock W, Rich M, Pena A. Persistent cloaca and phallic urethra. J Urol. 1989;142:1056–9.
Powell DM, Newman KD, Randolph J. A proposed classification of vaginal anomalies and their surgical correction. J Pediatr Surg. 1995;30:271.
Rink RC, Cain MP. Urogenital mobilization for urogenital sinus repair. BJU Int. 2008;102(9):1182–97.
Podesta M, Urcullo J. Perineal mobilization of the common urogenital sinus for surgical correction of high urethrovaginal confluence in patients with intersex disorders. J Pediatr Urol. 2008;4(5):352–8.
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Fahmy, M.A.B. (2015). Female Urethra. In: Rare Congenital Genitourinary Anomalies. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-43680-6_11
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DOI: https://doi.org/10.1007/978-3-662-43680-6_11
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