Urethral Growths: Causes and Concerns

Protrusion at the margin of the urinary tract?

Recently, I have developed some protrusions on the edge of my urinary tract.
Initially, I visited a doctor because of itching, and they diagnosed it as a urinary tract infection, prescribing medication.
I have been taking the medication for six days, and while the itching has subsided, the protrusions remain and seem to have increased in size.
Additionally, two red spots have appeared, but the protrusions themselves do not have any abnormal coloration.
I would like to know what this could possibly be.

Fanrao Zhe, 20~29 year old female. Ask Date: 2016/09/26

Dr. Chen Jiansheng reply Urology

If you're still very concerned, then let's go ahead and do a biopsy.

Reply Date: 2016/09/26

More Info

Understanding urethral growths can be concerning, especially when they present with symptoms such as itching, changes in size, or the appearance of additional lesions. Based on your description, it sounds like you may be experiencing a condition that warrants further evaluation.

Urethral growths can arise from various causes, including infections, benign growths, or even more serious conditions. The initial diagnosis of a urinary tract infection (UTI) is common, as UTIs can cause irritation and inflammation in the urethra, leading to symptoms such as itching and discomfort. However, if the growths persist or change in appearance after treatment, it is essential to consider other potential causes.

1. Benign Growths: Conditions such as urethral polyps or warts (caused by the human papillomavirus, HPV) can develop in the urethra. These growths are typically non-cancerous but can cause discomfort and may require treatment if they become bothersome or if they change in size or appearance.

2. Infections: Certain infections, including sexually transmitted infections (STIs) like herpes or HPV, can lead to the formation of lesions or growths in the urethral area. If you have had unprotected sexual contact, it is crucial to get tested for STIs, as they can present with similar symptoms.

3. Inflammatory Conditions: Conditions such as lichen sclerosus or lichen planus can cause changes in the skin and mucous membranes of the genital area, leading to growths or lesions. These conditions are often associated with itching and discomfort.

4. Malignant Growths: Although less common, it is essential to rule out the possibility of malignant growths, such as urethral carcinoma, especially if there are changes in the color, size, or texture of the growths. The presence of red spots could indicate inflammation or irritation, but it is crucial to have these evaluated by a healthcare professional.

Given that the growths have not resolved and have changed in appearance, I strongly recommend that you follow up with a urologist or a healthcare provider specializing in urinary tract conditions. They may perform a physical examination and possibly a urethroscopy, which involves using a small camera to visualize the urethra and identify any abnormalities. A biopsy may also be necessary if there is a concern about malignancy.

In summary, while your initial treatment for a urinary tract infection may have addressed some symptoms, the persistence and changes in the urethral growths warrant further investigation. Early diagnosis and treatment are key to managing any underlying conditions effectively. Please do not hesitate to seek medical attention to ensure your health and peace of mind.

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