Urethral Caruncle: An Entity Not to Be Ignored

Introduction: Urethral caruncle is a benign lesion that develops on the posterior lip of the urethra. It is the most common benign lesion of the female urethra. It is asymptomatic in the majority of cases and its discovery is often fortuitous. When it becomes symptomatic, its management consists of local estrogen therapy or surgical excision. We discuss the clinical and therapeutic aspects of this entity through a case report. Case: This is a 59-year-old woman, diabetic and hypertensive on treatment, menopausal for 8 years. She was referred to us following the fortuitous discovery of a mass of the urethral meatus associated with mictional burning and dysuria. The clinical examination found a urethral swelling with a wide implantation on the posterior wall of the urethra. It was delivered through the urethral meatus and associated with mictional burning and dysuria. The treatment was surgical by ambulatory excision of the caruncle. The operating follow-up was simple. The histological study was in favor of a urethral caruncle. Conclusion: The urethral caruncle is a benign lesion of the postmenopausal woman that can mimic other malignant lesions of the urethra, hence the interest to excise any urethral lesion in order to perform its anatomopathological study.