Urethral polyp in women: causes, symptoms, treatment, complications

27 May 2023, 20:46 | Health
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A polyp of the urethra is a benign neoplasm located on the epithelial layer of the wall of the urethra.. The disease is diagnosed in 4% of urological patients who seek help from a doctor, according to the online publication for girls and women from 14 to 35 years old Pannochka. net Urethral polyp is more often diagnosed in older women The polyp is a rounded outgrowth on the leg. In women, this pathology occurs much more often than in men, due to the peculiarities of the structure of the genitourinary system..

The risk of developing the disease increases with age. Most often, the disease is diagnosed in women over fifty years of age.. This is facilitated by past infections, impaired blood supply to the walls of the urethra and changes in hormonal levels after menopause..

ClassificationDepending on the causes of the development of pathology, the structure of tissues and the number of neoplasms, they are classified as follows:.

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Description.

glandular.

These are nodular growths consisting of glandular tissue into which vessels grow. Most often, this type of neoplasm occurs with hormonal disorders.. Polyps of this type grow very quickly and can penetrate into the lower layers of the tissues of the urethra.. When conducting a histological examination, cysts (cavities that are filled with a secret or serous fluid) are also often found in patients..

Fibrous.

This type of growths consists of fairly dense connective tissues with a minimum number of vessels and interspersed with glandular cells.. The reason for their appearance in most cases are infectious diseases or a violation of the cellular nutrition of the tissues of the urethra.. Usually, a single polyp is diagnosed, which grows slowly and practically does not affect neighboring layers.. Such formations very rarely degenerate into malignant tumors..

In women, in most cases, the formation of polyps occurs on the back wall of the urethra.. Often they spread to the tissues of the vagina. Neoplasms can reach large sizes - up to a centimeter in diameter.

Causes The causes of the growth of urethral polyps include:.

Causes.

Description.

Infectious diseases of the genitourinary system (chlamydia, gonorrhea, mycoplasmosis, urethritis).

Inflammatory response leads to a decrease in local immunity and cell damage. This results in an increase in carcinogenesis and the formation of tumors..

Urethral injury.

Formations can occur as a result of trauma to the urethra as a result of surgical operations in the genitourinary system, during abortions or difficult births, as well as when stones pass from the kidneys through the ureters and bladder.

Hormonal changes.

Most often, pathology develops in women during menopause, when the level of estrogen in the body decreases.. People with diabetes and hypothyroidism are also susceptible to the disease..

genetic predisposition.

Pathology can be inherited, so the risk of disease in children whose parents have neoplasms increases.

There are also provoking factors that contribute to the development of the disease.. These include:.

bad habits;

stress;

malnutrition;

excessive physical activity;

age-related changes.

Symptoms Initial At the initial stage of the disease, there may be no symptoms.. Some women report mild discomfort with urination or a feeling of incomplete emptying of the bladder.. These signs resemble cystitis or urethritis, therefore, in most cases, these diseases are started to be treated..

Pathology is accompanied by unpleasant symptoms - urinary incontinence, frequent urge to urinate. Over time, the formation increases, and the signs appear more clearly.. The main symptoms of pathology include:.

pain and burning when urinating;

discomfort in the urethra when walking or during intercourse;

feeling of fullness in the bladder after urination;

urinary incontinence: initially during sneezing, coughing or physical exertion, later, when the polyp reaches a large size, urine can leak constantly, causing inconvenience to the woman;

blood in urine. This disorder occurs when a polyp grows into the tissue under the lining of the urethra..

If the neoplasm is not eliminated in time, it is possible to attach a bacterial infection, as a result of which it develops:.

pyelonephritis: inflammation of the kidneys;

cystitis: inflammation of the bladder.

When an infection is attached, pain occurs in the lumbar region or lower abdomen, frequent urge to urinate, swelling and purulent discharge.

Acute If the growth rapidly increases and narrows the lumen of the urethra, this causes acute urinary retention. This problem is most commonly seen in men.. This is due to anatomical features (long and narrow urethra). But in some cases, women also experience this..

There are certain signs of such a pathology:.

the appearance of pain in the lower abdomen, which increases when you press this area;

inability to empty the bladder despite a strong urge to urinate;

the appearance of anxiety: a person cannot sit in one place, moves in a half-bent position.

Acute symptoms develop very quickly, sometimes within hours. Restoring the outflow of urine in this case is possible only with the help of catheterization..

Diagnosis A small polyp on the urethra in women is usually detected incidentally at a prophylactic appointment or during examination for other diseases..

To confirm the diagnosis, it is necessary to undergo an appropriate examination. Diagnosis of neoplasms includes:.

laboratory methods: general analysis of blood and urine, sampling of biomaterial from the urethra and vagina, histology;

ultrasound examination of the urinary system: the easiest, painless and effective way to detect formation, as well as the ability to assess the microstructure of the growth;

urethrography: one of the modern methods of X-ray examination, which allows to determine the localization and size of polyps (they can be seen in the photo), as well as the diameter of the lumen of different parts of the urethra. With ascending urethrography, it is technically more difficult to obtain an image of the female urethra than in men..

TreatmentSurgery is necessary if the polyp causes symptoms, bleeds, or obstructs the flow of urine..

Neoplasms are removed by physical destruction or surgical excision Methods for removing growths:.

physical destruction. Polyps can be removed using electrocoagulation, laser or cryosurgery. The procedure is performed under general or local anesthesia.. At the same time, formations are eliminated, accurately adhering to its boundaries and without damaging healthy tissues.;

surgical excision. This method of removal is used if the formation is large or potentially malignant.. Manipulations are performed under general anesthesia, followed by suturing.

If the size of the neoplasm is small, while there are no symptoms of the disease, and also if the pathology is detected in an elderly person, the removal is not carried out, limited to the treatment of the inflammatory process and observation.

Treatment with folk methods For the treatment of pathology, folk remedies are used, which, according to patients, in some cases help to get rid of the problem:.

recipe number 1: celandine grass is crushed and the juice is squeezed out, which is mixed in the same proportion with 70% medical alcohol. The finished product is taken 20 drops three times a day for half an hour before meals.. Treatment is continued for a month, then a two-week break is taken and, if necessary, it is resumed.;

recipe number 2: 6 tablespoons of dry without husk pumpkin seeds are ground into flour and mixed with six yolks from hard-boiled chicken eggs. At the next stage, add 500 ml of refined olive oil and put in a water bath for 20 minutes. Take one teaspoon on an empty stomach once a day. Treatment is carried out for a week, then take a break for five days. The finished medicine is stored in a tightly sealed glass container in the refrigerator.;

recipe number 3: mix 2 parts of birch buds, 3 parts of horsetail and 4 parts of bearberry. 2 tablespoons of dry raw materials are poured into 400 ml of boiling water and infused for an hour. Filter and take 100 ml 4 times a day. Duration of treatment - one month. This remedy helps to stop the growth of polyps..

Before using folk remedies for the treatment of neoplasms in the urethra, it is necessary to consult a doctor.

Complications If the build-up is not removed in time, the following complications may develop:.

malignancy (transformation of a benign tumor into a malignant neoplasm);

chronic cystitis, pyelonephritis or urethritis;



violation of the integrity of the mucous membrane of the urethra, resulting in frequent bleeding, leading to the development of iron deficiency anemia.

Removal of polyps should be carried out regardless of their type, since there is a risk of degeneration into a malignant form, especially if the growth grows rapidly and reaches a large size.

If signs of pathology are detected, it is necessary to contact a gynecologist or urologist.

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Based on materials: pannochka.net



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