Urethral Prolapse in Children: Care Instructions

Your Care Instructions

Urethral prolapse is a problem with the tube that carries urine from the bladder to the outside of the body. This tube is called the urethra. The problem happens mainly in girls. When the urethra sags or presses into the vagina, it's called urethral prolapse. The cause usually isn't known.

The most common symptoms include:

• Vaginal bleeding due to irritation of the urethra. You may see bloodstains on your child's underwear or diaper.
• Trouble urinating.
• Pain when urinating or wiping.

In some cases, the prolapse goes away without treatment. If treatment is needed, the doctor may prescribe estrogen cream. If there's damage to the urethra or if the cream doesn't help, your child may need surgery.

How can you care for your child at home?

• If the doctor prescribed vaginal estrogen cream, use it exactly as prescribed.
• Your child may take a warm bath once or twice a day to help with pain. To reduce the chances of irritation and pain, avoid bubble baths. Use soap only at the end of the bath.
• Put a layer of Vaseline on the opening of the urethra. This may help protect the irritated skin and ease pain.

When should you call for help?

Watch closely for changes in your child's health, and be sure to contact your doctor if:

• Your child's symptoms get worse.
• Your child does not get better as expected.