A Giant Urethral Caruncle Presented with Acute Urinary Retention - A Case Report and Review of Literature

Abstract

Urethral caruncles are the most frequent benign tumors of the female urethra and are sel-dom greater than 1 com in diameter. These are usually found in the menopausal period and in the posterior lip of the urethral meatus. Symptomatic urethral caruncle presenting as acute urinary retention is quite rare. We reported a 68-year-old female patient with acute urinary retention due to a giant urethral caruncle which was difficult to identify the urethral meatus by catheter insertion at our emergency room. Therefore, emergent suprapubic cystostomy was performed and 800 ml urine was drained. Wedge resection of the lesion providing complete excision was performed and postoperative priod was smooth without any adverse sequelae. (J Urol R.O.C., 8:206-209,1997)