Urethral Growths: When to Seek Treatment and What to Expect - Urology

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When it comes to urethral growths, such as the one you described, it is essential to approach the situation with caution and a clear understanding of what to expect. Urethral growths can vary in nature, and while some may resolve on their own, others may require medical intervention. Here’s a detailed response to your questions based on medical knowledge and practice.

1. Should you still consider electrosurgery?
Since the growth you observed has disappeared, it may not be necessary to proceed with electrosurgery immediately. However, it is crucial to monitor the area closely. If the growth reappears or if you experience any symptoms such as pain, bleeding, or difficulty urinating, you should seek medical attention promptly. Electrosurgery is typically recommended for persistent growths that do not respond to topical treatments like the one you are currently using (likely a topical antiviral or anti-inflammatory medication). If the growth does not return and you are symptom-free, you may not need further intervention.

2. Is it normal to have a dark red area resembling a stalk?
After a growth falls off, it is not uncommon to have some residual tissue or discoloration in the area. This could be a remnant of the growth or a healing response from the surrounding tissue. The dark red color may indicate that the area is still healing, and as long as there is no significant pain, discharge, or signs of infection (such as increased redness, swelling, or fever), it is likely a normal part of the healing process. However, if you notice any changes or if the area becomes painful, it is advisable to consult a healthcare provider.

3. How long should you continue using the topical medication?
The duration of treatment with topical medications like the one you mentioned (likely a form of imiquimod or similar) can vary based on the specific condition being treated and the doctor's recommendations. Generally, it is advisable to continue using the medication as directed by your physician, even if the growth has disappeared. This helps ensure that any remaining viral particles or abnormal cells are addressed. Typically, treatment may continue for several weeks, but you should follow up with your healthcare provider to determine the best course of action based on your individual response to the treatment.

In summary, while it is promising that the growth has disappeared, ongoing observation is crucial. If you have any concerns or if symptoms arise, do not hesitate to reach out to a healthcare professional. Regular follow-ups and open communication with your doctor will help ensure the best outcomes for your health. Additionally, maintaining a healthy lifestyle, including proper hydration and hygiene, can support your overall urinary tract health. If you have further questions or if the situation changes, please consult your healthcare provider for personalized advice.