Urethral prolapse is a condition in young girls wherein the end of the urethra protrudes outward from the urinary opening. It is different from a urethral caruncle, where only about a quarter of the internal urethral surface bulges outward.
It occurs most commonly in young black girls before puberty and in post-menopausal white women. The cause is not known, but risk factors may be a chronic cough, trauma, or constipation. Vaginal bleeding is the most common symptom.
According to the severity of the prolapse, treatment can range from conservative (antibiotics, estrogen cream, and sitz baths) to surgical excision when other treatments fail.