Charoenkul of the urethra in women: treatment, prevention
A benign polyp from a vascular connective tissue formed on the duct wall of the urethra, called the urethral karankul. May not manifest itself, but more often accompanied by difficulty and pain when urinating, itching and burning, appearance of blood in the urine. Diagnosis is by urethroscopy, urethrography, biopsy with morphological analysis of suspicious tissue. Small caruncula treated medically, and surgically.
Description of pathology
Karankul in the urethra is a subspecies of the polyp, which is formed of the mucous tissues of the urinary duct. Grows to a small size (up to 10-20 mm in diameter), has a rounded shape and a wide short leg. The surface formation is soft, supple, velvety with a large number of vessels, making, whenever possible, a polyp bleeds. Externally, the tumor is similar to the red ring. Rarely possible in black or violet color formation of infringement of the legs. Tissue structure caruncle is — connective-benign, but when prolonged the existence of possible malignancy.
Prevalent development caruncula women in old age (in postmenopausal women). Polyps are often located on the back of the urethral wall.
Causes urethral caruncle is in women
In connection with the spread of the disease among women in menopause proved that caruncle of the urethra are formed with a lack of estrogen. A rare cause of a polyp in the urethra is a viral, autoimmune or inflammatory pathology. Often the growth of connective tissue caused by irritation and infection of the meatus on the background of the rear of the eversion of the mucosa shrinkage of the sheath of the vagina due to hormonal imbalance in postmenopausal women. As a result, the urethra and often is in close contact with the external environment and is injured.
Caruncle in the urethra rarely manifest themselves, do not affect the process of urine excretion, often found in the profmedosmotr. There are cases of morbid formations, when there is dysuria (urination accompanied by burning sensation, itching and pain), bleeding, increased frequency of urination in the toilet. Because trauma tumor appears turbidity and blood in the urine. Polyps of the urethra are frequently accompanied by recurrent inflammation (cystitis, urethritis).
Karankul detected on physical examination by a gynecologist. If there is any doubt and needs clarification of a diagnosis, are appointed by additional tests:
- the cultures of urine, when the predominant pathology is a symptom of dysuria (to prevent bacterial infection of the urinary tract);
- urethroscopy with biopsy when required confirmation of the benign nature of the neoplasm;
- urethrography carried out to confirm the diagnosis and identify the cause of possible complications.
Differential diagnosis caruncle is cancer based on biopsies and external inspection. Malignancy painful when touched, much sealed, there is swelling, swollen lymph nodes, a process affecting the proximal areas of the urethra. Carunculata tumors symptomatically similar to malignant tumors, urethral diverticulum, leiomyoma, periurethral abscesses.
Treatment and prevention
Small, asymptomatic caruncula not treated, but observed. If the tumor appeared on the background of estrogen deficiency, and is manifested unpleasant symptoms, the treatment is a special èstrogensoderžaŝimi and anti-inflammatory creams. Additionally appointed warm salt bath. If there is an infection of the urethra, an antibiotic is prescribed.
With long-term preservation of symptoms, progression of sensations related to the lesion or in case of doubtful diagnosis regarding malignancy, karankul be deleted. This applies to:
- reflow (cauterization);
- laser burning (vaporization);
- classic excision;
- ligation polyposes legs;
- exposure to cold (cryosurgery).
With the right diagnosis mortality was observed. After the treatment caruncle is there comes a full recovery.
In order to prevent the occurrence of caruncle is in the urethra, it is recommended to undergo regular examination by a gynecologist and urologist to keep track of personal hygiene, to exclude the development of genital infections, to avoid injuries to the urinary duct. With the appearance of unpleasant symptoms such as pain, cramps, burning and itching during urination, violation of the act and the urinary output is recommended to consult a specialist.