What is Urethral caruncle?

Urethral caruncle is a reddened area involving the posterior margin of the urethral orifice. It is believed to be due to the prolapse of the posterior wall of the urethra. Urethral caruncle is generally asymptomatic and found in postmenopausal women. Occasionally they may present with dyspareunia and/or vaginal bleeding.

Urethral caruncle Facts and Information

Urethral caruncles, which often originate from the posterior lip of the urethra, may be described as fleshy outgrowths of distal urethral mucosa. They are usually small but can reach 1-2 cm in diameter. Most urethral caruncles are asymptomatic; however, some may be painful, and others may be associated with dysuria. Larger necrotic lesions may bleed. Some caruncular lesions may look like urethral carcinoma.

Symptom of Urethral caruncle

The primary sign of this problem is a thin, reddish membrane protruding from one portion of the urethral opening. Other symptoms include bleeding and urination problems such as frequency, urgency and pain. Here are the list of symptom of urethral caruncle

• 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

Urethral caruncles may be associated with tuberculosis, intestinal ectopia, and unusual neoplasms; however, reports of these associations are rare. Treat most patients conservatively with warm sitz baths. Topical estrogen creams and topical anti-inflammatory drugs may also be useful.Treatment is generally with diathermy or surgical excision.