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Kang, Jang, Choi, Shim, and Kwon: Analysis on 82 Cases of Urethral Mass
Original Article

The Ewha Medical Journal 1996; 19(2): 233-237.

Published online: 24 July 2015

DOI: https://doi.org/10.12771/emj.1996.19.2.233

Analysis on 82 Cases of Urethral Mass

Ho Won Kang, Seok Heun Jang, Hak Ryong Choi, Bong Suck Shim, Sung Won Kwon

Department of Urology, College of Medicine, Ewha Womans University, Korea.

Copyright © 1996. Ewha Womans University School of Medicine

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives

Urethral masses are not common in urogenital disease. The purpose of this study is to investigate and analyze urethral masses.

Methods

We reviewed 82 cases of urethral mass which were confirmed pathologically at Urology Department of Ewha Womans University Hospital from January 1985 to December 1994.

Results

1) Age distribution was between 10 and 82 years(mean age 48.7 years), showing the highest incidence in 31 to 60 years(53/82, 64.6%) and female to male ratio was 5.8:1.
2) Major symptoms were foreign body sensation of urethra(42/82, 51.2%), vaginal spotting (20/82,24.4%), dysuria(12/82, 14.6%), residual urine sensation and urinary frequency.
3) Among them, 40 cases were urethral caruncle(40/82,48.8%), 13 were urethral diver-ticulum(13/82, 15.9%), 10 were urethral condyloma(10/82, 12.2%), and 8 were urethral leiomyoma(8/82, 9.8%).
4) Among urethral caruncles, 24 cases were telangiectatic type(24/40, 60%), 8 were papillomatous type(8/40, 20%) and 8 were granulomatous type(8/40, 20%).
5) Surgical excision with electrocauterization or laser fulguration was performed in all cases and radiation therapy was added in case of leiomyosarcoma.

Conclusion

These results suggest that urethral masses are more common in female than male, most of them are benign condition, urethral caruncle is a major disease, and surgical excision with electrocauterization or laser fulguration is a good treatment.

Keywords: Urethra, Caruncle, Diverticulum, Condyloma, Leiomyoma, Excision

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