Leiomyoma of the Female Urethra

Abstract

Benign smooth muscle tumors of the female urethra are rare. A case of urethral leiomyoma which had been present for 18 years before surgical removal is reported. The pathogenesis and the clinical aspects of this unusual clinical condition are discussed.

Paraurethral leiomyoma in a female causing urinary obstruction

“…Complaints like vaginal mass are the presentation of over 50% of the cases [1]. Bladder outflow obstruction is seldom the chief complaint allowing the diagnosis and is present in about 13% of the patients [1]. Herein we describe a well-documented case of a patient where dysuria and filling of incomplete voiding were the first symptoms.…”

“…In some cases, confusion exists regarding its arousal from the urethra or from surrounding structures such as the vaginal wall or the vesicovaginal septum. Complaints like vaginal mass are the presentation of over 50% of the cases [1]. Bladder outflow obstruction is seldom the chief complaint allowing the diagnosis and is present in about 13% of the patients [1].…”

Rare case of paraurethral leiomyoma

“…4 Paraurethral tumors can clinically present as urethral and vaginal-wall leiomyoma because they grow in spaces that have no communication with the urethra, bladder or vagina. 5,6 Differential diagnoses include urethral diverticulum, urethral mucosal prolapse, urethral caruncle, Bartholinn gland cyst, Gartner cyst, urethral carcinoma and vaginalwall cyst. 3,7,8 The ages of the patients in the 6 cases treated were between 32 and 49 years, and they were affected by paraurethral leiomyomas of different sizes.…”

Paraurethrales Leiomyom im Cavum Retzii der Frau

“…Da keine malignen Transformationen solcher Leiomyome beschrieben sind [5], können diese lokal exzidiert werden. Während urethrale Leiomyome meist transurethral behandelt werden können [1,5,6], müssen paraurethrale Leiomyome je nach Lage durch transvaginalen oder retropubischen Zugang entfernt werden [2,7].…”