Table 1.

Description of the cases, treatment, and outcomes

	Age	Skin color	BMI	Reason for referral	Symptoms	Risk factors	Diagnosis	Treatment	Outcome
1	56	White	27	Urethral neoplasm	Pain, bleeding, and incontinence for 1 year	Postmenopausal	Bleeding and painful urethral prolapse	Surgical excision and sling	Success
2	57	Black	23	Urethral mass	Bleeding and incontinence for 8 months	Postmenopausal	Bleeding urethral prolapse	Surgical excision and sling	Success. Treated for urethral caruncle with topical creams.
3	78	White	19	Presented to emergency department	Pain and urinary retention	Postmenopausal	Partial thrombosis of a large urethral prolapse	Surgical excision	Success
4	86	White	29	Urethral caruncle	Vulvar mass and pain for 20 days	Postmenopausal	Uncomplicated total prolapse	Surgical excision	Success. Before referral, patient had been treated for more than a year for urethral caruncle.
5	62	White	31	Urethral prolapse	Vulvar mass and mild pain of acute onset	Postmenopausal, excessive walking	Uncomplicated total prolapse	Surgery	Success. This patient is the daughter of patient number 4.
6	21	White	20	Vaginal bleeding	Bleeding and mild pain	Contraceptive drugs for 4 years	Bleeding urethral prolapse	Medical, for 6 weeks	Success
7	65	White	24	Urethral tumor	Dyspareunia and vulvar mass	Postmenopausal	Uncomplicated prolapse	Medical, for 12 weeks	Prolapse resolved, but persistent dyspareunia
8	69	White	24	Postoperative vulvar pain	Asymptomatic	14th postoperative day of vaginal prolapse	Uncomplicated prolapse	Medical for 6 months than surgery	Success
9	55	White	23	Urethral prolapse	Urethral pain	Postmenopausal	Painful urethral prolapse	Surgical excision	Success
10	64	White	27	Urethral neoplasm	Vulvar mass and bleeding in the last month	Postmenopausal	Bleeding urethral prolapse	Surgery	Success. Treated for more than a year for urethral caruncle
11	69	White	26	Pelvic prolapse	Pain and acute vulvar mass	Postmenopausal and Pilates exercises	Painful urethral prolapse	Reduction followed by surgery	Success initially, but developed a urethral caruncle 3 years later.
12	73	white	28	Presented to emergency room with vaginal bleeding	Pain, bleeding, and vulval mass	Postmenopausal	Bleeding urethral prolapse and vascular thrombosis	Surgery	Success