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Here we report a case of primary carcinoma of the female urethra. A 52-year-old woman presented with a palpable urethral mass associated with intermittent pain that she first experienced a few months prior. Clinical examination showed a urethral mass that appeared to be a caruncle; therefore, simple carunclectomy was performed. However, on histolog...
Context in source publication
Context 1
... ure- thral mass presented at Urology Department with intermittent urethral pain. The patient did not complain of any urinary symp- toms or dyspareunia. Her medical history included an appen- dectomy 30 years previous but was otherwise unremarkable. Pelvic examination showed the presence of a urethral mass ap- proximately 1.7 cm in diameter (Fig. 1). The mass appeared to be a simple urethral caruncle despite a small amount of ulcer- ation; therefore, we did not perform urethroscopy or cystosco- py. Three hours after the carunclectomy, the Foley catheter was removed and the patient reported good voiding ability. She was then discharged, and a follow-up visit was scheduled for 7 ...
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Purpose
We assessed contemporary incidence rates and trends of primary urethral cancer.
Methods
We identified urethral cancer patients within Surveillance, Epidemiology and End Results registry (SEER, 2004–2016). Age-standardized incidence rates per 1,000,000 (ASR) were calculated. Log linear regression analyses were used to compute average annual...
Background
Patients treated for prostate cancer may present to general practitioners (GPs) for treatment follow up, but may be reticent to have their consultations recorded. Therefore the use of simulated patients allows practitioner consultations to be rated. The aim of this study was to determine whether the speciality of the assessor has an impa...
Urethral carcinoma is a rare urological cancer, accounting for only 1% of malignancies in Australia. The most common histology is transitional cell carcinoma (TCC). The majority of these cancers are treated with surgery. The main purpose of this case study is to describe a novel radiation treatment technique for treatment of this uncommon cancer. T...
Citations
... In the evaluation of meatal lesions, signs that are concerning for malignancy would warrant initial biopsy or excisional procedure for pathology. Concerning signs for malignancy include firm consistency to palpation, palpable inguinal lymph nodes [54], rapidly growing [57], ulceration [58], and persistent symptoms following conservative treatment [59]. Several cancer subtypes have been described as mimicking the urethral caruncle including squamous cell carcinoma [58,59], adenocarcinoma [60], transitional cell [61], melanoma [62], and lymphoma [57]. ...
... Concerning signs for malignancy include firm consistency to palpation, palpable inguinal lymph nodes [54], rapidly growing [57], ulceration [58], and persistent symptoms following conservative treatment [59]. Several cancer subtypes have been described as mimicking the urethral caruncle including squamous cell carcinoma [58,59], adenocarcinoma [60], transitional cell [61], melanoma [62], and lymphoma [57]. MRI is the modality of choice for evaluation of concerning urethral lesions. ...
Purpose of Review
This paper describes the differences in benign, malignant, and iatrogenic urethral pathology in women and reviews common presenting symptoms and management strategies.
Recent Findings
The advancement of magnetic resonance imaging has led to MRI becoming the imaging modality of choice for urethral pathology. Urethral pathology is rare, and there remains a paucity of evidence-based literature for management. Urologists and gynecologists must be familiar with common benign urethral pathology, the most common of which includes urethral diverticula, Skene’s gland cyst, urethral prolapse, and caruncle. Further case series are providing further insights to the management of these rare entities.
Summary
Urologists and gynecologists must understand the most common urethral pathologies and be able to identify the most appropriate treatment approach. It is essential to be able to differentiate these entities from malignancy and obtain a thorough surgical history to identify possible iatrogenic causes.
