Urethral mucosa prolapse before menarche and so in the child is an uncommon entity that affects the distal urethra and is rarely diagnosed. It is associated with significant morbidity and there is a danger of urethral loss if appropriate treatment is not initiated promptly. Here we manage a case of urethal prolase by medical management. Case report: A Patient of age 7 yr belonging from low socio ecomnomical condition presented in our OPD with a complain of vaginal bleeding & painful micturation for 1 month. My patient was on anti biotic & antifungal for last 15 days.On pre operative evaluation urine culture was within normal limit, USG within normal limit. Patient was treated by medical management with estrogen ointment sucessfully. Conclusion: Though a rare condition, medical management of premenarcheal urethral mucosa prolapse is associated with good outcome.