Female paraurethral leiomyoma in non-sexually active woman: A case report

Widia, Fina; Hamid, Agus Rizal Ardy Hariandy; Indraswari, Madhyra Tri; Pingkan, Trifonia; Susanto, Yayi Dwina Billianti; Matondang, Sahat

doi:10.1016/j.eucr.2022.102160

Cited by 2 publications

(2 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Widia et al discussed the role of MRI in diagnosing paraurethral leiomyomas, noting its superior ability to delineate soft tissue structures and provide detailed information on the mass's extent and relation to surrounding tissues [3]. This aligns with our case, where MRI was pivotal in identifying the mass's probable mesenchymal origin and guiding the subsequent biopsy and surgical approach.…”

Section: Discussionsupporting

confidence: 81%

“…These symptoms can include urinary obstruction, dysuria, and palpable mass, which overlap significantly with more common urological and gynecological conditions [2]. Accurate diagnosis typically requires a combination of clinical examination, imaging, and histopathological analysis [3]. This case report aims to contribute to the limited body of literature on paraurethral leiomyomas by detailing the clinical presentation, diagnostic workup, surgical management, and histopathological findings of a newly diagnosed case, thereby enhancing awareness and guiding future management of similar presentations enhancing awareness and guiding future management of similar presentations.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Paraurethral Leiomyoma: A Rare Entity Requiring Extensive Preoperative Counseling and Prompt Management

Sakthivel,

Ragavan,

Bafna

et al. 2024

Cureus

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Paraurethral Leiomyoma: A Rare Entity Requiring Extensive Preoperative Counseling and Prompt Management

Sakthivel,

Ragavan,

Bafna

et al. 2024

Cureus

View full text Add to dashboard Cite

Paraurethral leiomyoma in a post-menopausal woman: a case report

et al. 2023

View full text Add to dashboard Cite

Background Paraurethral leiomyoma are rare, benign, hormone-dependent growths. They originate from smooth muscle cells and occur in the paraurethral space of the urethra. They make up approximately 5% of urethral tumours. They usually appear in the reproductive age group of women with variable clinical presentation depending on the size and location of occurrence. They can either be asymptomatic or can present with local pressure symptoms, dyspareunia, and lower urinary tract symptoms. The usual treatment is surgical excision with confirmation of diagnosis on histology. Case presentation We report a case of a 58-year-old lady who initially presented to the gynaecology department with pelvic pain and lower urinary tract symptoms. After initial investigation with an ultrasound scan and MRI, a 5 × 5 × 4 cm mass was detected next to the bladder, with suspicions of it arising from the detrusor muscle. There was also a 3 cm Bartholin’s cyst detected in the left vaginal wall. Her care was referred to the urology team who after further investigation and a transperineal biopsy of the mass diagnosed a paraurethral leiomyoma on histology. Given the patient was symptomatic, she opted for treatment. Embolisation was explored but was deemed not feasible due to a complex blood supply. Therefore, the patient underwent an open excision of leiomyoma as a combined abdominal and vaginal procedure. Conclusion Paraurethral leiomyoma are rare benign lesions and therefore pose diagnostic challenges as they must be differentiated from malignant tumours. Radiological imaging aids with diagnosis but diagnosis is confirmed on histology. The mainstay of treatment is surgical excision. This case is unusual given the patient’s age and post-menopausal status as the average age of presentation in the literature is 41 years old. The authors would recommend initial USS imaging for all patients presenting with overactive bladder symptoms and pelvic pain/discomfort.

show abstract

Female paraurethral leiomyoma in non-sexually active woman: A case report

Cited by 2 publications

References 5 publications

Paraurethral Leiomyoma: A Rare Entity Requiring Extensive Preoperative Counseling and Prompt Management

Paraurethral Leiomyoma: A Rare Entity Requiring Extensive Preoperative Counseling and Prompt Management

Paraurethral leiomyoma in a post-menopausal woman: a case report

Contact Info

Product

Resources

About