Excision of urethral caruncle using a sealing device (LigaSure™): A case report

We report a case of a 74-year-old postmenopausal woman with stage III cystocele and a non-circumferential urethral caruncle presenting with bulge, voiding difficulty, occasional bleeding, and meatal discomfort. She underwent anterior colporrhaphy followed by excision of the urethral caruncle using the LigaSure™ device. The procedure was completed within 1 min, with minimal blood loss and no suturing. Postoperative follow-ups showed good wound healing without recurrence or urethral stricture. This case suggests that LigaSure™ may enable rapid, sutureless excision in selected non-circumferential lesions.

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Publication Details

Journal
Urology Case Reports
Published
2025-09-01
DOI
https://doi.org/10.1016/j.eucr.2025.103192
Primary Topic
Urinary and Genital Oncology Studies
Type
article
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article

Excision of urethral caruncle using a sealing device (LigaSure™): A case report

Pengfei Chen, Hui-Kung Ting, Ellis Meng
Urology Case Reports
Urinary and Genital Oncology Studies
article

Excision of urethral caruncle using a sealing device (LigaSure™): A case report

Pengfei Chen, Hui-Kung Ting, Ellis Meng
article en

Abstract

We report a case of a 74-year-old postmenopausal woman with stage III cystocele and a non-circumferential urethral caruncle presenting with bulge, voiding difficulty, occasional bleeding, and meatal discomfort. She underwent anterior colporrhaphy followed by excision of the urethral caruncle using the LigaSure™ device. The procedure was completed within 1 min, with minimal blood loss and no suturing. Postoperative follow-ups showed good wound healing without recurrence or urethral stricture. This case suggests that LigaSure™ may enable rapid, sutureless excision in selected non-circumferential lesions.

Urology Case ReportsVol. 63
National Defense Medical Center (TW)
Openalex Percentile: Top 63%
Urinary and Genital Oncology Studies
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