Recurrence of urethral leiomyoma: A case report

Abstract

Urethral leiomyoma is an infrequent benign tumor. Much more infrequent is recurrence. It has been described in exceptional cases. We report a rare case of a 46 year old woman who had a surgery for a urethral leiomyoma eight years ago. Now, she presents with nodulation in her vagina with no other symptoms. The patient underwent surgical excision of the tumor, and pathological examination revealed an recurrence of urethral leiomyoma.

Urethral leiomyoma: A rare cause of acute urinary retention

“…Imaging modalities may help to determine the exact location of the mass, the depth of tissue infiltration, the tissue plane, and finally the planning of surgical excision. Ultrasound imaging shows a well-defined iso- to hypo echoic homogenous mass [3] , [7] .…”

“…Local excision is usually recommended. Complete surgical excision is usually achieved [3] , [8] . Under local anesthesia, this patient underwent a complete surgical excision of the external urethral mass.…”

“…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.…”

Leiomyoma of the urethra: a rare benign tumor

“…Urethral leiomyomas are more common in women aged 30 to 40 years, and the mean age at presentation is 41 years. 6 The etiology of urethral leiomyoma may be related to increased estrogen levels. According to some reports, the size of the tumor may decrease with menopause or after delivery, indicating that the disease is hormone-dependent.…”

Urethral leiomyoma: A rare neoplasm

“…Urethral leiomyoma is an extremely rare tumor, with <45 cases described in literature. [ 1 2 ] Urethral leiomyomas are usually small neoplasms ~1–2 cm in diameter growing mainly in the distal part of the urethra and from its posterior surface. About 25% of cases of urethral leiomyoma are asymptomatic, otherwise patients complained of urethral mass, hematuria, acute urinary retention, recurrent lower urinary tract infections, and vaginal bleeding.…”