Urethral Prolapse: Symptoms, Causes, and Treatment Options

Written by Medicover Team and Medically Reviewed by Dr Priyanka Mandpe , Gynecologist

---

Urethral prolapse happens when the inner lining of the urethra sticks out through its opening. This condition mainly affects young girls before puberty and women after menopause. It can cause discomfort, bleeding, and problems with urination. Early diagnosis and treatment are important to avoid complications and improve comfort.

What Are the Urethral Prolapse Symptoms and Warning Signs?

Recognizing the signs of urethral prolapse early can lead to faster and simpler treatment.

Common Symptoms

• A visible red or swollen lump at the urethral opening
• Mild pain or irritation
• Needing to urinate often or suddenly

Severe Symptoms

• Painful urination
• Bleeding from the urethra
• Trouble emptying the bladder
• Incontinence or leaking urine

---

What Are the Common Causes and Risk Factors of Urethral Prolapse?

Several underlying factors can contribute to the development of urethral prolapse.

Causes

• Hormonal changes, especially low estrogen after menopause
• Increased pressure inside the abdomen from coughing, constipation, or obesity
• Injury or trauma, such as childbirth

Risk Factors

• Obesity
• Chronic coughing
• Family history of pelvic problems
• Age (young girls and older women are more at risk)

---

How Is Urethral Prolapse Diagnosed?

Doctors usually diagnose urethral prolapse through a physical exam and may use imaging if needed.

Diagnostic Methods:

• Physical (pelvic) examination
• Evaluation to rule out other conditions like cystocele or urethral caruncle
• Imaging tests (e.g., ultrasound or MRI) to view internal pelvic structures

At Medicover, our gynecology and urology experts are equipped with advanced tools for accurate diagnosis and individual care.

---

What Are the Treatment Options for Urethral Prolapse?

Treatment depends on the severity and age of the patient. Many cases respond well to non-surgical methods.

Non-Surgical Options

• Topical estrogen cream: Helps rebuild tissue strength
• Sitz baths: Reduce discomfort and promote healing
• Improved hygiene: Keeps the area clean and infection-free
• Lifestyle changes: Managing constipation and avoiding heavy lifting

Surgical Options (for severe or recurring cases)

• Tissue excision: Removal of the prolapsed part
• Urethral plication: Folding and stitching the tissue to restore shape

Medicover offers expert care with both conservative and surgical treatment options prepared to individual needs.

---

When to See a Doctor?

See a doctor if symptoms persist or worsen, especially if there is visible swelling, bleeding, or trouble urinating.

Seek help if you notice:

• Bleeding or a visible lump near the urethra
• Pain or burning while urinating
• Trouble emptying your bladder
• Symptoms lasting more than a few days despite home care

---

What Is the Recovery Process After Urethral Prolapse Treatment?

Recovery varies depending on the treatment used. Most patients recover well with proper care.

Post-Treatment Care:

• Continue sitz baths and hygiene routines
• Avoid lifting or straining for a few weeks
• Follow-up visits to check healing progress
• Long-term: estrogen therapy may be continued in postmenopausal women

At Medicover, we support your recovery with individual plans, follow-ups, and access to gynecology and urology care under one roof.

---

What Precautions Can Help Prevent Urethral Prolapse?

While not always preventable, lifestyle adjustments can reduce your risk and support healing.

Prevention Tips

• Treat chronic coughs and constipation
• Maintain a healthy weight
• Avoid straining or heavy lifting
• Use estrogen therapy if recommended

Complications if Left Untreated

• Ongoing urinary issues
• Repeated infections
• Risk of permanent tissue damage

---

Our Experience Treating Urethral Prolapse

At Medicover, we understand how sensitive and uncomfortable urethral prolapse can be. Our specialists provide both adults and children with attentive, gentle treatment that paves the way for lasting healing and comfort. With compassionate doctors and advanced treatment methods, we're committed to helping each patient return to a healthy, active life.

---