Urethral caruncle causes acute urinary retention

Q4 Medicine

IJU Case Reports Pub Date : 2024-07-06 DOI:10.1002/iju5.12756

Akifumi Katsu, Masato Yanagi, Norio Motoda, Hiroyoshi Kono, Ryoji Kimata, Tsutomu Hamasaki, Yukihiro Kondo

{"title":"Urethral caruncle causes acute urinary retention","authors":"Akifumi Katsu, Masato Yanagi, Norio Motoda, Hiroyoshi Kono, Ryoji Kimata, Tsutomu Hamasaki, Yukihiro Kondo","doi":"10.1002/iju5.12756","DOIUrl":null,"url":null,"abstract":"<div>\n \n <section>\n \n <h3> Introduction</h3>\n \n <p>We encountered a case of urinary retention caused by a urethral caruncle.</p>\n </section>\n \n <section>\n \n <h3> Case presentation</h3>\n \n <p>An 86-year-old woman presented to our hospital with urinary retention. When the urinary bladder catheter was placed, a smooth, well-defined mass 20 mm in diameter was detected on the posterior wall of the external urethral meatus. The patient was diagnosed with urinary retention due to a urethral caruncle, and the mass was resected. The mass was pathologically compatible with a urethral caruncle. The patient could urinate postoperatively. Ultrasound test after surgery showed residual urine volume was 100 mL.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Inspecting the urethral meatus is vital in the clinical examination of older women with voiding symptoms. A urethral caruncle is a rare cause of urinary retention. However, large urethral caruncles are at risk of causing urinary retention suggesting that resecting the urethral caruncles at an appropriate time is desirable.</p>\n </section>\n </div>","PeriodicalId":52909,"journal":{"name":"IJU Case Reports","volume":"7 5","pages":"368-370"},"PeriodicalIF":0.0000,"publicationDate":"2024-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/iju5.12756","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"IJU Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/iju5.12756","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction

We encountered a case of urinary retention caused by a urethral caruncle.

Case presentation

An 86-year-old woman presented to our hospital with urinary retention. When the urinary bladder catheter was placed, a smooth, well-defined mass 20 mm in diameter was detected on the posterior wall of the external urethral meatus. The patient was diagnosed with urinary retention due to a urethral caruncle, and the mass was resected. The mass was pathologically compatible with a urethral caruncle. The patient could urinate postoperatively. Ultrasound test after surgery showed residual urine volume was 100 mL.

Conclusion

Inspecting the urethral meatus is vital in the clinical examination of older women with voiding symptoms. A urethral caruncle is a rare cause of urinary retention. However, large urethral caruncles are at risk of causing urinary retention suggesting that resecting the urethral caruncles at an appropriate time is desirable.

Abstract Image

查看原文本刊更多论文

尿道痈导致急性尿潴留

我们遇到了一例由尿道痈引起的尿潴留病例。一名 86 岁的妇女因尿潴留来我院就诊。在放置膀胱导尿管时，发现尿道外口后壁上有一个直径 20 毫米的光滑、轮廓清晰的肿块。患者被诊断为尿道痈引起的尿潴留，肿块被切除。该肿块在病理学上与尿道海绵体吻合。术后患者可以排尿。术后超声检查显示残余尿量为 100 毫升。尿道肉阜是导致尿潴留的罕见原因。然而，大的尿道海绵体有引起尿潴留的风险，这表明在适当的时候切除尿道海绵体是可取的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊