How do you treat urethral caruncle at home?

Most urethral caruncles can be treated conservatively with warm sitz baths and vaginal estrogen replacement. Topical anti-inflammatory drugs may also be useful.


Can a urethral caruncle go away on its own?

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.

How do you shrink urethral caruncle?

How do you treat a urethral caruncle?
  1. Topical estrogen cream. Applying this cream helps restore your estrogen levels.
  2. Anti-inflammatory medication. Your healthcare provider may also recommend a topical anti-inflammatory cream, such as a corticosteroid, to ease swelling and irritation.
  3. Urethral caruncle removal.


How long does it take for a urethral caruncle to go away?

Routine hematological and biochemical investigations were normal. The patient was advised topical estrogen cream for 4 weeks and the lesion resolved completely in 4 weeks [Figure 2]. Urethral caruncle is the most common lesion of female urethra and is often observed in postmenopausal women.

How common is urethral caruncle?

Urethral caruncles are common in elderly postmenopausal women but may rarely develop in girls or premenopausal or perimenopausal women.


What is a Urethral Caruncle? - Pathology mini tutorial



What causes the caruncle to swell?

The allergens ( i.e. pollen) irritates the caruncle and causing it to be inflammed and swollen. In addition, both the allergens and inflammatory “stuff” the eyes produces to fight the allergen accumulates in the caruncle area leading to become the epicenter of itchiness.

What happens if your caruncle is swollen?

The swollen caruncle may impair fluid flow from the lacrimal gland to the punctum, triggering epiphora, although the nasolacrimal system is normal[3]–[4].

How do you apply estrogen cream to urethral caruncle?

Carefully spread the cream onto the top wall of the vagina just underneath the urethral area (see Figure 2, yellow highlighted area). As the cream is spread, some may be gently inserted into the vagina: however, it is not necessary to push the cream high into the vagina.


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.

Can your caruncle get infected?

However, reports on infectious disease in the caruncle are rare. There are few case reports on caruncular abscess caused by bacterial infection [4,5]. We report a case of actinomyces infection on the caruncle, leading to an abscess. The actinomyces infection was confirmed by histopathologic examination.

Is a urethral caruncle a prolapse?

Some people use the word “prolapse” and “caruncle” interchangeably. The only difference between the two is that urethral prolapse is completely prolapsed on all edges and a caruncle is just prolapse on the lower edge of the urethral opening.


What is the purpose of a caruncle?

A caruncle is a fleshy outgrowth on a plant or animal. A caruncle's function in a human eye is to moisturize the eye and protect it from bacteria.

How do you reduce inflammation of the urethra?

Treatment for urethritis typically includes a course of either antibiotics or antiviral medication. Some common treatments for urethritis include: azithromycin, an antibiotic, typically taken as a one time dose. doxycycline, an oral antibiotic that is typically taken twice a day for seven days.

What causes a urethral caruncle to bleed?

It is thought that as a result of oestrogen deficiency initially some of the mucosal lining of the urethral prolapses. Chronic irritation of this tissue can then cause growth, bleeding and necrosis.


What color is the caruncle?

Introduction. The caruncle (from Latin caro=flesh) is a soft, pink, ovoid body, about 5 mm high and 3 mm broad, situated in the lacus lacrimalis medial to the plica semilunaris.

How is a caruncle formed?

A urethral caruncle is a benign outgrowth at the urethral meatus (urethral opening). They occur most commonly in postmenopausal women. Urethral caruncles occur when the outermost part of the urethra everts or turns out.

How do you treat a caruncle cyst?

The mainstay of treatment is complete surgical excision.
  1. Surgery. Care should be taken to avoid excising excess caruncle or surrounding plica semilunaris, that could lead to scarring and medial scar tissue.
  2. Complications. ...
  3. Prognosis.


What are the risks of using estrogen cream?

Side Effects
  • Breast pain.
  • enlarged breasts.
  • itching of the vagina or genitals.
  • stinging or redness of the genital area.
  • thick, white vaginal discharge without odor or with a mild odor.


Where do you rub estrogen?

If you are using estradiol gel, you should apply it in a thin layer to one arm, from the wrist to the shoulder. If you are using estradiol emulsion, you should apply it to both thighs and calves (lower legs). Do not apply estradiol gel or emulsion to your breasts.

Does estrogen cream help urethra pain?

Estrogen, taken systemically and locally (Table 2), helps maintain vaginal and urethral tissue even when relatively small doses are used. Resolution of urinary symptoms is often achieved by applying a small dab of estrogen cream locally to the urethra.


Where is caruncle located?

A urethral caruncle is a benign fleshy outgrowth of the posterior urethral meatus. It is the most common lesion of the female urethra and occurs primarily in postmenopausal women.

What does it mean when your caruncle is white?

The white caruncle: sign of a keratinous cyst arising from a sebaceous gland duct.

What is a caruncle lesion?

Introduction. The caruncle is a modified cutaneous tissue located at the inner canthus that contains hair follicles, accessory lacrimal glands, sweat glands and sebaceous glands. These different types of tissues can give rise to a wide variety of lesions that make the clinical diagnosis difficult.


What over the counter medicine is good for urethritis?

Take an over-the-counter pain medicine, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve), if needed.

Does ibuprofen help with inflamed urethra?

Home Remedies for UTI Pain Relief. ​OTC pain medications like phenazopyridine (Azo), acetaminophen, and ibuprofen can all offer some relief for UTI pain.