UniPi
DIRIGENTE MEDICO UOC Urologia
Nuovo Ospedale S.Giuseppe - Empoli
Dottorato di Ricerca in Scienze Chirurgiche, Anestesiologiche e dell'Emergenza - Università di Pisa

Removal of urethral caruncle

Definition:
It is a small benign vascular tumor, of the size of a pea, which develops on the back wall of the external urethral orifice. It mostly occurs after menopause.

Etiology:
Estrogen deficiency.

Diagnosis:
No special diagnostic tests are required.

Differential diagnosis:
It must put against:

  • a malignant neoplasm typical of the urethra;
  • a senile urethritis (inflammation of the typical urethra of the post-menopausal age often associated with a polyploid reaction of urinary meatus and which is the most common cause of neo formations in this region: the diagnosis of senile urethritis can be done by evaluating the Patient’s estrogenic status and response to hormone replacement therapy);
  • Condyloma;
  • a urethral vein thrombosis (it is presented as painful, bluish-like, similar to a thrombotic hemorrhoid, which affects the back wall of the urethral orifice and which regresses without treatment);
  • a urethral prolapse (commonly encountered, it is more common in children or paraplegics).

Therapy:
It is indicated only in symptomatic forms; It consists in the simple removal of the formation with subsequent suture of the healthy urethral mucosa to the vaginal mucosa, after placing an urethral catheter.

Histology:
Histologic examination of a urethral caruncle appears as a connective tissue rich in inflammatory cells and blood vessels, covered by hyperplastic epithelium.

Complications:
Possible stenosis of the external urethral meatus.

Prognosis:
Relapses are possible.

Contacts & appointments

Lucca:
Centro Medico San Luca
(presso Check up Medical Center)
via Romana Traversa II, 35
0583 495473
0583 080338

Livorno:
via del Mare, 83
347 6439874

Pisa:
Centro le Querciole
via di cisanello 1/A
Ghezzano
347 6439874

Empoli:
Centro Salus
via Chiara, 111
0571 711818

Cellulare privato:
347 6439874


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