Discussion
The urethral caruncle is a benign lesion mostly seen in postmenopausal
women. The cause of urethral caruncle in postmenopausal women is said to
be due to hypoestrogenism (4). These are inflammatory nodules arising
from the posterior lips of the urethral opening. It often presents as
solitary nodules, sometimes, pedunculated tumors. The larger tumors
might need surgical excision; however, the initial treatment of urethral
caruncle is the application of topical estrogen and anti-inflammatory
ointments. In the present case, the urethral caruncle resolved
completely with topical estrogen ointment.