Urethritis: Polyp Concerns and Treatment Options - Obstetrics and Gynecology

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Questions related to urethritis?


Recently, I noticed a noticeable polyp at the urethral opening during a bout of urethritis.
I plan to visit the hospital to inquire about the possibility of having it removed, but the polyp is not visible when there is no inflammation.
I'm unsure whether I should make an appointment.
I had a previous experience last year where a polyp was removed via electrocautery.
I also want to ask whether the frequent urethritis is caused by the presence of the polyp or if the urethritis is what led to the development of the polyp.

Niming, 20~29 year old female. Ask Date: 2024/06/04

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, please consult a urologist.
Wishing you good health.

Reply Date: 2024/06/04

More Info


Urethritis, or inflammation of the urethra, can be a frustrating and painful condition, particularly when accompanied by the presence of polyps or other growths. Your concern about the visible polyp at the urethral opening during episodes of urethritis raises important questions regarding its implications for your health and treatment options.

Firstly, it is essential to understand the relationship between urethritis and the development of polyps. Urethral polyps can occur due to chronic irritation or inflammation, which may be caused by recurrent infections, such as urethritis. In your case, the frequent episodes of urethritis could potentially contribute to the formation of the polyp. Conversely, the presence of a polyp may also predispose you to recurrent infections by obstructing the urethral opening or creating an environment conducive to bacterial growth. Therefore, it is not entirely clear whether the polyp caused the urethritis or if the urethritis led to the formation of the polyp; both scenarios are plausible.

Regarding your experience with electrosurgery to remove a polyp last year, it is not uncommon for polyps to recur, especially if the underlying cause of irritation or inflammation is not addressed. If you have noticed that the polyp is more pronounced during episodes of urethritis, it would be prudent to consult with a urologist. They can perform a thorough examination, possibly including a cystoscopy, to visualize the urethra and determine the nature of the polyp. This will help in assessing whether the polyp is benign or if further intervention is necessary.

In terms of treatment options, if the polyp is determined to be the cause of your recurrent urethritis, removal may be recommended. This can be done through various methods, including electrosurgery, laser therapy, or traditional surgical excision, depending on the size and location of the polyp. Additionally, addressing any underlying factors contributing to urethritis—such as hygiene practices, sexual health, and hydration—can be beneficial in reducing the frequency of infections.

It is also important to consider preventive measures for urethritis. Increasing fluid intake can help dilute urine and flush out bacteria from the urinary tract. Practicing good hygiene, especially after sexual activity, can also reduce the risk of infections. If you are sexually active, discussing safe practices with your partner is essential, as sexually transmitted infections (STIs) can also lead to urethritis.

In summary, the relationship between urethritis and urethral polyps is complex, and both conditions may influence each other. Consulting with a urologist is crucial for a proper diagnosis and to discuss the best course of action for managing both the polyp and the recurrent urethritis. They can provide tailored advice based on your medical history and current symptoms, ensuring you receive the most effective treatment and care.

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