Urethral Caruncle

Definition

It is a nonneoplastic polypoid lesion located at the distal urethra.

Clinical Features

• Incidence

  It is a common lesion: it is the most frequent benign tumorlike condition of the female urethra.

• Age

  Typically seen in postmenopausal women and rarely in childhood

• Sex

  It occurs mainly in female patients.

• Site

  The typical site is the posterior wall of the urethra, near the meatus.

• Treatment

  Surgical treatment. It forms a red painful mass that can be seen at the external ureteral meatus. Patients may be asymptomatic, although dysuria, urinary frequency, and obstructive symptoms are frequently reported (Cheng 2014).

• Outcome

  Benign outcome

Macroscopy

Grossly it has a soft, fleshy, red tumorlike that bleeds and may cover the entire circumference of the urethral meatus.

Microscopy

Three main histologic patterns, such as papillomatous, angiomatous (Fig. 1), and granulomatous, have been recognized, according to the predominant morphology, but without clinical relevance. The superficial...