DEFINITION-Removal of a urethral caruncle, a small benign tumor that develops at
the opening of the female urethra.
BODY PARTS INVOLVED-Urethra; vagina (route for surgery).
REASONS FOR SURGERY-Treatment of excessive bleeding or discomfort.
SURGICAL RISK INCREASES WITH
- Adults over 60.
- Obesity; smoking.
- Poor nutrition.
- Recent or chronic illness.
- Use of drugs such as: antihypertensives; muscle relaxants; tranquilizers; sleep
inducers; insulin; sedatives; beta-adrenergic blockers; or cortisone.
- Use of mind-altering drugs, including: narcotics; psychedelics; hallucinogens;
marijuana; sedatives; hypnotics; or cocaine.
What To Expect
WHO OPERATES-Urologist or obstetrician- gynecologist.
WHERE PERFORMED-Hospital, outpatient surgical facility or doctor's office.
- Before surgery: Pap smear (See Glossary); pelvic
examination; blood and urine studies.
- After surgery: Pelvic examination.
ANESTHESIA-Local anesthesia by injection and topical application.
DESCRIPTION OF OPERATION
- The vagina is held open with a speculum. The caruncle is located, cleansed and
anesthetized with local anesthesia.
- The caruncle is then removed with electrocauterization or a scalpel.
- Bleeding is controlled with pressure or electrocauterization.
- Excessive bleeding.
- Surgical-wound infection.
AVERAGE HOSPITAL STAY-Usually none.
PROBABLE OUTCOME-Expect complete healing without complications. Allow about 2 weeks
for recovery from surgery.
† Use an electric heating pad, a heat lamp or a warm compress in the genital area
to relieve surgical--wound pain.
† You may use non--prescription drugs, such as acetaminophen, for minor pain.
† To help recovery and aid your well--
being, resume daily activities, including work, as soon as you are able.
- Avoid vigorous exercise for 2 weeks after surgery. > Resume driving 3 days after
returning home. > Sexual relations may be resumed when your doctor determines that
healing is complete.
DIET--No special diet.
Call Your Doctor If
† Pain, swelling, redness, drainage or bleeding increases in the surgical area.
- Urination is painful or difficult.
- You develop signs of infection: headache, muscle aches, dizziness or a general ill
feeling and fever.
- New, unexplained symptoms develop. Drugs used in treatment may produce side effects.