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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