What Is a Urethral Caruncle?

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  • Written By: Valerie Goldberg
  • Edited By: Angela B.
  • Last Modified Date: 13 October 2019
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A urethral caruncle is a normally benign, red, soft lump found on the posterior of the urethra. Women who have already gone through menopause are more likely to develop these lumps than younger women. Some patients will experience vaginal pain, pain with sex or bleeding from a urethral caruncle, in which case surgery may have to be performed.

Lack of estrogen production and excessive abdominal pressure are two common causes of a urethral caruncle. Some women seem to develop these growths for no apparent reason. It is possible that some patients develop this lump from trauma to the area or from inflammation resulting from back-to-back urinary tract infections.

Some women may develop a urethral caruncle and never know it. Sometimes the caruncle will cause no pain and disappear on its own as mysteriously as it came. Other patients may be in excruciating pain from it. This pain can occur during urination, while sitting or during sexual intercourse. Women experiencing chronic or abnormal urethral pain should make an appointment to see a urologist or gynecologist.


It is important for a doctor to take a look at the urethra of a woman with pain in the area. There are other causes for urethral pain aside from urethral caruncles, including interstitial cystitis, a chronic bladder disease and several sexually transmitted diseases. If a doctor determines that a urethral caruncle is responsible for a woman's pain, then there are several courses of treatment that may work to ease the symptoms. Anti-inflammatory medications or estrogen creams can help to reduce the pain and swelling in the urethra area. The at-home treatment of taking a sitz bath also is typically recommended for patients experiencing discomfort.

Rare cases may occur when a urethral caruncle does not heal on its own. In this scenario, a patient may have to undergo surgery to remove the fleshy lump. The surgery can be done under general or local anesthesia and is normally performed in a hospital rather than a urologist's office. A doctor may prescribe temporary narcotic pain medication while a patient is recovering.

There is always a low possibility that any mass found in the urethral area can cancerous. If a urologist suspects anything unusual about the caruncle, he or she will perform a biopsy. Typically, however, caruncles are benign. Cysts and other hard masses found in the pelvic region are much more likely to be potentially cancerous.


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Post 8

I have a very similar story, painful bleeding and sticking out of my urethra. My urologist wants to do a biopsy and take it out. She said it was a polyp but it looks exactly like what you have explained. Some days it's in and can't see it and when it comes out I feel it right away. Very uncomfortable.

Post 7

I forgot to add to my comment that the Estradiol cream for urethral caruncle is pretty expensive from $260-$500. Mine was $260, my heath insurance paid $240, I paid $20. Sometimes having very expensive health insurance is worth it.

Post 6

About 2 weeks ago I went to use the bathroom and my urine stream was very weak (stop and go) and I saw blood on the bath tissue.

Everyday, the pain increased and bleeding increased also. After four days of wiping I felt that I had something sticking out of my vagina. I asked my hubby to take a picture and I discovered there is a penny-size, very dark red outgrowth on my inner labia. It looked like I have a baby penis growing from mu vagina.

I went to see my local doctor, and she said I don't see anything. I was “are you kidding me? I even have a picture.” She proscribed me antibiotics, not even knowing

what's going on. After four days taking the antibiotics with no improvement and the pain getting worse, I went to see gynecologist and she said, “There is nothing.” I showed her the picture I had, with a 1-inch, dark red bleeding growth sticking from my vagina, and said I even know what it is. I already googled everything and figured it out. Now I need your help to treat it.

I asked if I could use an estrogen cream, because mostly urethra caruncles grow in postmenopausal woman because of low estrogen levels. She said I don't know. Maybe. I will make you an appointment with a urologist. After waiting in pain for three days and no call, and the bleeding increased, I made appointment myself with a urologist. And yes, he said it is a urethral caruncle and proscribed me a Estradiol cream, and said if there's no improvement in three weeks, he can do surgery. In my case, the urethral caruncle is very painful. I can't sit or walk, and it's very painful urinating. Most of the time, I'm in tears and pain.

Post 5

Get a second opinion. My friend just found out hers is cancer and not good news behind that.

Post 4

I had several bladder infections with bleeding. I went to the Urologist and was told I had a urethal caruncle and the bleeding was coming from it. I was prescribed Estrace cream. I have been on it for three days, but the cramps and backache are unbearable. I am hoping to get some relief soon. If I don't see some improvement in the next couple of days, I'm going back to the doctor.

Post 3

What kind of daily tasks can I do with a urethral caruncle with swelling and bleeding?

Post 2

@ceilingcat - I've never heard of this either. Which is kind of a shame, I think. As women we should be informed about possible problems with our systems, so to speak. I can definitely imagine finding a bump like this and thinking I had contracted an STD or something. I guess that's just another reason why it pays to just go to the doctor instead of trying to diagnose yourself!

Post 1

I've never heard of this before. However, I used to get urinary tract infections all the time, so I suppose I was at risk for developing a urethral caruncle. I'm glad I didn't though. Getting two UTIs in a row was bad enough, I can't imaging adding insult to injury with a condition like this!

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