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Urethral caruncle, Symptoms and Treatment of Urethral caruncle

Urethral caruncles are benign, distal urethral lesions most commonly found in postmenopausal females. Urethral caruncle is a reddened area involving the posterior margin of the urethral orifice. Because they sometimes look like urethral carcinoma, they may be alarming to the untrained eye. Urethral caruncles are common in elderly females but rare in perimenopausal women.

Causes of Urethral caruncle

Urethral caruncle is caused by redundancy of the mucosa combined with laxity of the periurethral fascia, and it may be aggravated by an increase in intra-abdominal pressure and a relative lack of estrogen.

Symptoms of Urethral caruncle

Patients may be asymptomatic or may present with urethral bleeding, urinary urgency or frequency, or dysuria. Unlike a neoplasm, which generally is firm and nontender, a caruncle is soft and may be tender.

Painful micturition or dyuspareunia.
bloody spotting with mild trauma
Sassile or pedunculated red mass that is tender to touch.

Treatment and Cure of Urethral caruncle

Medical therapy: Treat most patients conservatively with warm sitz baths. Topical estrogen creams and topical anti-inflammatory drugs may also be useful.

Surgical therapy: Reserve surgical intervention for patients with larger symptomatic lesions and for those with uncertain diagnoses. Tumors are found in approximately 2% of urethral caruncles.

Preoperative details: Standard vaginal preparation and antibiotics are recommended.

Intraoperative details: Removal is a simple operation and involves the following steps:

First, perform a cystourethroscopy to rule out bladder and urethral abnormalities. Many urologists perform a cystoscopy in the office, upon initial patient presentation, to rule out other pathologies (eg, carcinoma, diverticulum, abscess).
Place a Foley catheter.
Use stay-sutures in the epithelium to prevent mucosal retraction and meatal stenosis.
Excise the lesion.
Oversew the edges with 3-0 or 4-0 chromic sutures.

Synonyms and related keywords: urethral lesions, caruncula, carunculae, urethral diverticulum, urethral carcinoma, periurethral gland abscess, dysuria, distal urethral prolapse, estrogen deficiency, epithelium, polymorphous inflammatory infiltrate

Women Medical Diseases

Abnormal Uterine Bleeding
Ovulatory cycles
Anovulatory Cycles
Amenorrhea
Pelvic Pain
Premenstrual or Menstrual Pain
Uterine Pain
Adnexal Pain
Vulvar or Vaginal Pain
Perimenopause
Menopause
Pre Menopause
Vaginitis
Adenomyosis
Ahumada-Del Castillo syndrome
Anovulatory cycles
Asherman's syndrome
Atrophic vaginitis
Enterocoele
Hydrometrocolpos
Mittelschmerz
Leucorrhoea
Hysteria
Urethral caruncle
Urethrocoele
Rectocoele
Labyrinthitis
Lactose-intolerance
Laryngitis
Lead-poisoning
Legionnaire's-disease
Leprosy
Leptospirosis
Leukaemia
Lice-infestation
Lichen-planus
vulvodynia symptom
celebrex vulvodynia
Best vulvodynia treatment
dysesthetic vulvodynia
cause of vulvodynia
Cervical ectropion
Cervical mucous
Cervical polyp
Cystocoele
Androgen Insensitivity Syndrome
Congenital Adrenal Hyperplasia
Lipoma
Lliver-cirrhosis
Wart
Wernicke-korsakoff-syndrome
Health Conditions
Bartholin gland cyst

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