CARUNCULA URETRAL PDF

My urologist wants to do a biopsy and take it out. She said it was a polyp but it looks exactly like what you have explained. Very uncomfortable. Sometimes having very expensive health insurance is worth it.

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Cart No products in the cart. Urethral caruncles are pink or red sores on the edge of the urethral opening which may bleed or cause pain, most common in postmenopausal women, less common in premenopausal women, and sometimes in children. Caruncles are benign. Urethral caruncles Urethral caruncles are lesions on the outer portion of the urethra the urethral meatus, the distal urethral mucosa.

These lesions are most common in postmenopausal women, less common in premenopausal women, and sometimes in children urethral polyps. It is very rare in men.

Symptoms of urethral caruncles The lesions are typically quite small, but can be up to 1cm. These lesions are far more common in elderly women than any other group, They are most often asymptomatic, and only found during routine examinations. The lesions, however, can cause pain and sometimes bleeding. It can cause pain or burning on urination, as the acidic urine makes contact with the lesion.

The lesion are pink or red, and sometimes black or purple. Urethral caruncles are not typically a cause of urinary problems in women, so if you are having other urinary symptoms, while you can also have a concurrent caruncle, this is not a cause of bladder problems.

Diagnosis of urethral caruncles The most common cause of urethral caruncles is the atrophy of the mucosa due to low oestrogen linked with atrophic vaginitis. Oestrogen keeps our skin supple and lush, so when oestrogen drops, the skin can start to see unusual damage, easy tearing and dryness. It is then continually irritated and this irritation keeps the problem around longer, and adds to the symptom burden bleeding, pain.

This is reasonably easily fixed with topical oestrogen applications or increasing phyto-oestrogen-rich foods. Cases have been reported whereby urethral melanoma, tuberculosis, intestinal ectopia, lymphoma and urethral leiomyoma had a very similar symptom.

Cancer has been found in only a couple of caruncles. Pregnancy may make caruncles worse. Biopsy is usually unnecessary, but may be recommended if the lesion is suspected of being a carcinoma. Cystoscopy may be performed to check out the inside of the bladder. Urethral caruncles have been occasionally linked to autoimmune conditions and this needs more study.

Treatment of urethral caruncles The point of the treatment is to reduce the inflammation and the cause where it is obvious, for example low oestrogen. Err on the side of caution to resolve the problem. Be diligent — the tissue is very delicate. Warm sitz baths Vaginal oestrogen replacement Anti-inflammatory drugs Surgery, when the lesions are large, the diagnosis is uncertain, treatment has failed or the lesions look unusual Outcomes after treatment are most often very good.

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How is this condition diagnosed? A urethral caruncle is usually discovered during a routine pelvic examination. However, it can be tricky to visually determine whether the growth is truly a urethral caruncle or another type of lesion, such as a carcinoma a type of cancer tumor. If your doctor is uncertain, they may take a tissue sample biopsy to determine whether the growth is cancerous.

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