Female paraurethral leiomyoma: a case report

Abstract

Background Leiomyoma is a benign fibromuscular neoplasm originating from smooth muscle cells. Paraurethral leiomyoma is an extremely rare, benign, hormone-dependent growth from the mesenchymal cells in paraurethral space of female urethra. They usually appear in the reproductive age group women, mean age of presentation being approximately 41 years. Case presentation A 48-year-old woman presented with palpable mass at vagina and weak urinary stream. She underwent clinical examination and CT scan and MRI imaging followed by transvaginal excision of the mass. Histopathological examination confirmed paraurethral leiomyoma. Conclusions Paraurethral leiomyoma owing to its rare incidence poses a diagnostic dilemma for the gynecologists. Radiological imaging techniques help in diagnosis. Surgical excision via vaginal route is the treatment of choice. Diagnosis is confirmed by histopathology.

Urethral leiomyoma: A rare cause of acute urinary retention

“…Leiomyomas are benign tumors of smooth muscle. Extrauterine leiomyomas are rare, especially in the soft tissue like the female urethra, which are rare benign mesenchymal tumors that arise from the smooth muscle of the urethra [1] , [2] , [3] . We describe an unusual case of urethral leiomyoma that was a mass protruding out of the urethral external meatus after the patient had fallen from stairs.…”