Urethral caruncle

This is a raspberry-like benign lesion involving the posterior lip of the urethral opening and usually presents after menopause. The urethra is the tube that drains urine from the bladder. Urethral Caruncle is a very common women disease which can occur at any age. Urethral caruncles are not related to urethral cancer or any other type of cancer. Here you can find the cause, symptom, treatment and information on Urethral Caruncle disese. 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 most often occur in girls before puberty and in women after menopause. a case of urethral caruncle has also been described in a male.A urethral caruncle is usually found incidentally during an examination done for some other reason. Urethral Caruncle is relatively uncommon and has a bimodal age distribution Urethral caruncles are common in elderly women but are rare in perimenopausal women. Most urethral caruncles are asymptomatic; however, some may be painful, and others may be associated with dysuria.

Causes of Urethral caruncle

The common Causes of Urethral caruncle :

• Urethral caruncles are common in elderly women but are rare in perimenopausal women
• Many present as bleeding or blood on the undergarments. Some caruncular lesions may look like urethral carcinoma.
• Urethral caruncles, which often originate from the posterior lip of the urethra, may be described as fleshy outgrowths of distal urethral mucosa.
• A urethral caruncle looks like a bed of granulation tissue covered by either squamous or transitional epithelium.

Symptoms of Urethral caruncle

Some common Symptoms of Urethral caruncle :

• Hormone creams applied directly to the caruncle
• Bloody spotting with mild trauma
• Surgical removal of the caruncle
• Painful micturition or dyuspareunia.
• Soaking in a warm bath
• Blood in the urine
• Sassile or pedunculated red mass that is tender to touch.

Treatment of Urethral caruncle

• 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
• Excise the lesion.
• Topical estrogen creams and topical anti-inflammatory drugs
• Use stay-sutures in the epithelium to prevent mucosal retraction and meatal stenosis.
• Oversew the edges with 3-0 or 4-0 chromic sutures.
• Surgical excision
• Place a Foley catheter.

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