How a benign lesion is treated depends on the type. Your urologist has many methods to choose from to treat your lesions.
Urethral polyps can be removed using cystourethroscopy. Your urologist can peer into the urethra with a small, flexible camera and use miniaturized tools to remove the growth. The base of the polyp is burned off with an electric current.
Most often, the small urethral hole at the penis tip is cut wider a short ways in to help with urination. This can be performed in the office with topical anesthesia, or in the operating room for more extensive problems. For more information on meatal stenosis please refer to our comprehensive meatal stenosis page.
Congenital Urethral Fistula
Urethral fistula repair is done as an outpatient procedure. Your urologist will:
- straighten the shaft of the penis
- close the fistula hole
- cover the repaired urethra with skin (which may be taken from the foreskin)
- either circumcise or rebuild the foreskin
Diverticulum of the Anterior Urethra
This problem may be treated with surgery.
Cowper's Duct Cyst
There's a thin wall between the bulbous urethra and Cowper's duct, and its opening. Your urologist can take out part of this wall using a small knife through a tube in the urethra (endoscopic resection). This will ease the symptoms. If the duct can't be reached with an endoscope, open surgery is done.
No treatment is needed if the extra urethra isn't causing debilitating symptoms. If the 2 holes are close together with 2 urinary streams, surgery can connect them into a single one. If the penis is curved as well (chordee), the urologist may choose to straighten it and remove the extra urethra.