Exision of Urethral Caruncle Prolapsed Urethral Mucosa
Why is it done?
- Prolapsed urethral mucosa causing pain and bleeding
- Occurs from childhood to old age
How is it done?
- This procedure is done under a spinal/general anesthetic, as decided by the anesthetist.
- The legs will be elevated into the lithotomy position.
- This procedure is done with cystoscopy.
- Your bladder and urethra are inspected with cystoscopy
- The prolapsed mucosa will then be excised at the external meatus.
- Dissolvable sutures will be placed for hemostasis
- A catheter will be placed until you are awake for some compression.
- Prophylactic antibiotics will be given to prevent infection.

Complications
Side–effects
- Any anesthetic has its risks, and the anesthetist will explain all such risks.
- Complications: hemorrhaging, and urine retention
- Patients’ catheter will be removed the next morning.
- If you cannot urinate after 2-3 attempts, a catheter may be inserted to empty your bladder.
- You may be required to keep the catheter for a few days if you have persistent bleeding or urinary retention.
- NB! Each person is unique and for this reason, symptoms may vary!
Download Information Sheet
Wes Urethral Caruncle – Prolapse Excision
Copyright 2019 Dr Jo Schoeman

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