title: The effect of asymptomatic urethral caruncle on micturition in women with urinary incontinence.
abstract: OBJECTIVE
  The aim of this study was to evaluate the effect of asymptomatic urethral caruncle (UC) on micturition in women suffering from urinary incontinence.
  
  
  METHODS
  A total of 232 patients participated in the study. UC was diagnosed in 50 of 232 patients with urinary incontinence during a physical examination in our clinic. All cases were divided into 2 groups: UC combined with urinary incontinence (group 1) and urinary incontinence only (group 2). Urodynamic evaluations were performed according to the International Continence Society standards.
  
  
  RESULTS
  Both groups were similar in terms of voiding diary, pad test and residual urine volume. Urodynamic studies revealed no significant difference between group 1 and 2 (infravesical obstruction: 6% vs. 4.4%; overactive detrusor: 44% vs. 42.9% respectively). The rates of severe IPSS (37.8% vs. 20.9%) and severe cystocele (20.9% vs. 13.8%) were numerically higher in group 1 with no statistically significant difference.
  
  
  CONCLUSIONS
  Our results suggest that there is no effect of asymptomatic UC on lower urinary tract symptoms in women with urinary incontinence. Therefore, treating asymptomatic UC is unnecessary in these patients. However, during incontinence surgery, it is the surgeon's decision whether to treat asymptomatic UC.
authors.affiliation: Department of Urology, Kocaeli University School of Medicine, Kocaeli, Turkey.
authors.forename: Cuneyd
authors.initials: C
authors.lastname: Ozkurkcugil
authors.forename: Levend
authors.initials: L
authors.lastname: Ozkan
authors.forename: Tufan
authors.initials: T
authors.lastname: Tarcan