Introduction
The urethral caruncle is a lesion that mostly arises from the posterior
lip of the urethral opening, and it is usually a benign tumor. It can
occur at any age in females; however, it is a common lesion of the
female urethra in postmenopausal women (1). Usually, the urethral
caruncle doesn’t cause any symptoms, but some patients complain of
feeling a lump or discomfort at the groin or sometimes complain of
bleeding from the urethral meatus. Urethral caruncle can cause dysuria
and rarely cause a sensation of pressure in the vulva as well (2).
Sometimes a giant urethral caruncle can cause urinary retention and it
is often mistaken for pelvic organ prolapse (3). This write-up is to
report a case of urethral caruncle in a perimenopausal woman treated
with topical estrogen ointment.
A 38-year-old came for gynecological consultation with complaints of
feeling a lump at the vulva for a 1-month duration. She noticed the lump
has increased in size gradually and gave discomfort while sitting. She
doesn’t complain of any urinary symptoms or bleeding or discharges from
the lump. On physical examination, there was a mass of 2 x 2 CM in size,
seen originating from the posterior lips of the urethral opening,
yellowish to pinkish in color, soft on palpation, and non-tender (figure
1). The patient did not give any history of medical disorders, not she
underwent any surgical procedures on the abdomen and pelvis. Her
obstetric history was uneventful. Routine hematological and biochemical
tests were normal. The patient was given topical estrogen cream to apply
three times daily for one month. She came after one month for a
follow-up and found the lesion had resolved completely.