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To the Editor:—
The purpose of this letter is to describe a method for the control of the urethral caruncle, not a cure for it.
The urethral caruncle usually appears as a fiery-red growth or tumor around the distal end of the female urethra or as a pedunculated form from the posterior margin. It is soft, spongy, frequently tender and covered with squamous or stratified epithelium. It may bleed easily to touch or manipulation.A most satisfactory pathologic classification is that of Kimmelstiel and McKay (Bull Charlotte Mem Hosp, Vol 1, June 1944). They describe two definite groups: (a) Granulomata occur on the floor of the urethra and are usually elevated and red, bleed easily, and are very sensitive. They have a predominance of inflammatory cells of a nonspecific nature. (b) Angiomata usually surround the urethra and are composed of engorged blood vessels which resemble hemorrhoids. These angioma contain
Culp MA. Control of The Urethral Caruncle. JAMA. 1965;194(4):471. doi:10.1001/jama.1965.03090170149034
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