RT - Journal TY - JOUR A1 - Abhulimhen-Iyoha, Blessing A1 - Oguejiofor, C T1 - Urethral prolapse: An important differential diagnosis of bleeding from the vulva in pre-pubertal African girls YR - 2017/5/1 JF - Port Harcourt Medical Journal JO - Port Harcourt Med J SP - 96 OP - 98 VO - 11 IS - 2 UL - https://www.phmj.org/article.asp?issn=0795-3038;year=2017;volume=11;issue=2;spage=96;epage=98;aulast=Abhulimhen-Iyoha;t=5 DO - 10.4103/phmj.phmj_3_17 N2 - Urethral prolapse is the abnormal protrusion of the urethral mucosa through the external urethral meatus. It is a rarely diagnosed condition as most cases will be misdiagnosed as sexual abuse. If diagnosed, however, medical treatment with follow-up will usually suffice. If this fails, or in the presence of complications, surgical management may be employed. The most common presenting feature is urogenital bleeding. Genital bleeding in a pre-pubertal child is alarming to parents. Their first impression is that of a sexual abuse resulting in the suspicion of all adult males in the surrounding environment. The condition is worsened by a scenario in which the child is either too little to give an account or where she points accusing fingers to some adults. We report a case of bleeding from the vulva from urethral prolapse masquerading as suspected sexual abuse from an unknown adult. ER -