CARUNCULA URETRAL PDF

Urethral caruncles are the most common urethral lesion in postmenopausal women. Most women are asymptomatic, but caruncles can cause pain or bleeding. On physical examination, there is a protrusion of fleshy tissue from the posterior margin of the external urethral meatus. The etiology has been hypothesized to involve chronic irritation in the setting of urethral prolapse and mucosal atrophy due to hypoestrogenic state 1,2. Histologically, the lesion consists of hyperplastic squamous and urothelial epithelium, fibrosis, and inflammation 1,2. There is soft tissue thickening at the external urethral meatus, measuring mm in size, usually anteriorly displacing the urethra, with the following signal characteristics 1,2 :.

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Department of Dermatology, Venereology and Leprology, R. Medical College, Udaipur, Rajasthan, India. Urethral caruncle is a benign vascular tumor, which usually arises from the posterior lip of the urethral meatus. It represents the most common lesion of the female urethra and occurs primarily in postmenopausal women. Symptoms are dysuria, dyspareunia, hematuria, and rarely a sensation of pressure in the perineal region.

Pediatric cases with urethral caruncle have also been reported,[ 4 ] but cases in perimenopausal women are rarely seen. Herein, we report a case of urethral caruncle in a perimenopausal woman. A year-old female patient was referred from the gynecology department with the complaints of burning and pain sensation during micturition for 3 months. There was no history of stress or urge incontinence, hematuria, and dyspareunia. The lesion did not bleed on touch. The patient's obstetric history was uneventful.

Routine hematological and biochemical investigations were normal. The patient was advised topical estrogen cream for 4 weeks and the lesion resolved completely in 4 weeks [ Figure 2 ]. Urethral caruncle is the most common lesion of female urethra and is often observed in postmenopausal women. It consists of vascular connective tissue loosely surrounded with transitional and squamous epithelial cells. The most important risk factor in its etiology is hypoestrogenemia.

When present, the most common symptoms are dysuria, pain or discomfort, dyspareunia, and rarely bleeding. The mass may be large and bleeds easily. The authors certify that they have obtained all appropriate patient consent forms. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed. Financial support and sponsorship: Nil.

Conflicts of interest: There are no conflicts of interest. National Center for Biotechnology Information , U. Journal List Indian J Urol v. Indian J Urol. Author information Article notes Copyright and License information Disclaimer. Received Jun 18; Accepted Jul This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.

Dear sir, Urethral caruncle is a benign vascular tumor, which usually arises from the posterior lip of the urethral meatus. Open in a separate window. Figure 1.

Single, soft, dark red mass at the posterior lip of the external urethral meatus. Figure 2. Dramatic improvement after 4 weeks of topical estrogen application. Declaration of patient consent The authors certify that they have obtained all appropriate patient consent forms. Footnotes Financial support and sponsorship: Nil. Urethral adenocarcinoma mimicking urethral caruncle. Urethral caruncle: Case report of a rare acute urinary retention cause. Can Urol Assoc J.

Giant urethral caruncle presenting as genital prolapse. Urol J. Urethral caruncle in a 9-year-old girl: A case report and review of the literature. J Med Case Rep. Urology in the female. In: Campbell and Harrison Urology. Philadelphia, PA: Saunders Co; Urethral caruncle: Clinicopathologic features of 41 cases. Hum Pathol. Support Center Support Center. External link. Please review our privacy policy.

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What Is Urethral Caruncle and How Is It Treated?

Department of Dermatology, Venereology and Leprology, R. Medical College, Udaipur, Rajasthan, India. Urethral caruncle is a benign vascular tumor, which usually arises from the posterior lip of the urethral meatus. It represents the most common lesion of the female urethra and occurs primarily in postmenopausal women. Symptoms are dysuria, dyspareunia, hematuria, and rarely a sensation of pressure in the perineal region. Pediatric cases with urethral caruncle have also been reported,[ 4 ] but cases in perimenopausal women are rarely seen. Herein, we report a case of urethral caruncle in a perimenopausal woman.

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Urethral caruncle

A urethral caruncle is a benign cutaneous condition characterized by distal urethral lesions that are most commonly found in post-menopausal women. They appear red, and can be various sizes. They can have the appearance of a tumor. These epidermal growths are found around the posterior portion of the urethral meatus.

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Urethral caruncle in a perimenopausal female: Dramatic response to topical estrogen cream

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