urethral prolapse in a premenarchal asian girl background urethral prolapse is an uncommon condition characterized by complete circular eversion of the urethral mucosa through the external meatuscase we present the case of a 9yearold asian girl who presented with 3 days of vaginal spotting and a painless vulvar mass after several unsuccessful attempts of manual reduction surgery was performed as a result the patient had no recurrence or meatal stenosis at the 6month followupconclusion urethral prolapse can be clinically diagnosed without laboratory or radiographic evaluation by demonstrating edematous tissue that surrounds the meatus circumferentially it should not be confused with other causes of vaginal bleeding including sexual abuse