You are correct. A clinical dx of strangulated urethral prolapse was made, and the mass was reduced under anesthesia. Cystourethroscopy showed excess urethral mucosa, w/ normal bladder mucosa.

Strangulated urethral prolapse is a rare urological emergency. It occurs due to circular protrusion of urethral mucosa through the urethral meatus, w/ bimodal age distribution, mostly seen in either prepubertal girls or postmenopausal women. The exact etiology is still unknown; however, lack of estrogen and poor pelvic support have been implicated as major predisposing factors, esp in postmenopausal women.

This pt had surgery to excise the prolapse and was treated w/ local application of estrogen cream. At 3-mo f/u, the pt was voiding well, and exam revealed no prolapse.

BMJ Case Reports 2018;2018:bcr-2018-227040