CHAPTER 82

Surgical Repair of Urethral Prolapse

Prolapse of edematous urethral mucosa may be of sufficient degree to require surgical excision (Figs. 82–1 and 82–2). It is important to differentiate urethral prolapse from a urethral caruncle. The former is circumferential in nature, is less common, and is treated surgically, whereas the latter is much more common, usually requires only topical estrogen therapy, and usually is isolated to the posterior urethral meatus.

The procedure begins by identifying the urethral lumen (Fig. 82–3

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