What causes a urethral Caruncle to bleed?
In a review of 394 women presenting with malignant urethral lesions mimicking caruncles, bleeding was the most common complaint. 3 Malignant melanoma, urethral adenocarcinoma, non-Hodgkin’s lymphoma, tuberculosis and ovarian tumour have been reported as causes mimicking urethral caruncles.
Does a urethral Caruncle bleed?
[1] Urethral caruncles in 32% of cases are asymptomatic. When present, the most common symptoms are dysuria, pain or discomfort, dyspareunia, and rarely bleeding. The mass may be large and bleeds easily.
What is the most common cause of the female urethral Caruncle?
Caruncles are most common in post-menopausal women and in some cases pre-pubertal girls [6]. They are thought to arise due to reduced oestrogenisation of urethral smooth muscle leading to lack of support for the urethral mucosa. This urogenital atrophy allows the mucosa of the urethra to prolapse.
Is urethral Caruncle serious?
Often there are no symptoms but sometimes they are painful. There may be dysuria and occasionally they may bleed. Urethral caruncles do not appear to have a detrimental effect on micturition or continence. Urethral caruncles are an unusual cause of postmenopausal bleeding.
Can urethral prolapse cause bleeding?
Vaginal bleeding is the most common presenting symptom of urethral prolapse. Upon examination, round, often doughnut-shaped protrusion mucosa is observed obscuring urethral opening. Because urethral prolapse is rare, the rate of misdiagnosis is high.
Can a Caruncle be cancerous?
Urethral caruncle is a common disease, and most cases are treated conservatively. However, malignant carcinoma arising from the urethral caruncle or urethral carcinoma resembling a caruncle has only rarely been reported.
How do you get rid of urethral caruncle?
Most urethral caruncles can be treated conservatively with warm sitz baths and vaginal estrogen replacement. Topical anti-inflammatory drugs may also be useful.
Can urethral caruncle be cured?
Urethral caruncle cysts don’t need to be treated if there are no symptoms. Some urologists suggest using estrogen cream or HRT to make the caruncle go away. If the caruncle is large or causes problems, your urologist may remove it and burn its base.
When does urethral caruncle occur in a woman?
Urethral caruncle is a benign fleshy outgrowth at the urethral meatus that occurs mainly at posterior lip of urethra and is most commonly seen in postmenopausal women. They are typically asymptomatic and are mostly reported as incidental findings during pelvic examination.
Can a caruncle cause bladder problems in women?
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.
What should I do if I have urethral caruncle?
A typical treatment plan may include topical estrogen cream to help restore your levels and a topical anti-inflammatory medication to further ease symptoms.
Can a low estrogen level cause an urethral caruncle?
A low estrogen level in a female is associated with a higher risk for having a urethral caruncle. Estrogen naturally keeps your genital area skin flexible and lush. If your levels drop, your skin may dry, thin down, tear easily, and become prone to other irritation.