Transvaginal excision of vaginal paraurethral leiomyoma: A video case report

Costa, Clarissa; Barba, Marta; Cola, Alice; Frigerio, Matteo

doi:10.1016/j.ejogrb.2023.09.008

Cited by 2 publications

(4 citation statements)

References 7 publications

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“…A urethral catheter insertion during tumor removal surgery via vaginal approach is preferred to prevent urethral injury. 3,4,6,7,18 Hemostatic suturing and proper closure are necessary following effective mass removal to avoid dead spaces.…”

Section: Discussionmentioning

confidence: 99%

“…Vaginal packing placement could also be implemented for hemostasis. 6,19 Routine postoperative monitoring is required to evaluate recurrences. Furthermore, several studies have reported sexual intercourse disturbances following the diagnosis and management of vaginal tumors.…”

Section: Discussionmentioning

confidence: 99%

“…The recommended treatment option is surgical excision of the mass through the vagina, which has a low chance of recurrence. [3][4][5] This case report outlines a successful surgical treatment of a vaginal leiomyoma by removing the tumor with excision and enucleation using a vaginal approach.…”

Section: Introductionmentioning

confidence: 99%

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Early diagnosis and appropriate management of vaginal leiomyoma in rural areas

Nizomy,

Budinurdjaja,

Armanza

et al. 2024

MOG

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HIGHLIGHTS Extrauterine leiomyoma, including vaginal leiomyoma, is an exceedingly rare condition with complex pathogenesis and management Clinical evaluation and high-quality imaging are required to confirm the diagnosis of vaginal tumor. If there are insufficient facilities, referrals must be made. Operative management using vaginal approach was described for treating vaginal leiomyoma. ABSTRACT Objective: To describe the challenges of early diagnosis and appropriate management of vaginal leiomyoma in rural areas. Case Report: A 26-year-old woman, P1A0, was referred from a rural hospital and presented a chief complaint of vaginal mass. The patient was admitted to the tertiary hospital with suspected malignant vaginal tumor and underwent a biopsy, which revealed leiomyoma on pathological examination. Despite conservative treatment, the mass continued to grow, unaffected by the menstrual cycle, causing discomfort. Following a second hospital admission, the patient underwent surgical management of extirpation and vaginal reconstruction. The microscopic finding of the tumor showed myositis cell proliferation with hyperplastic growth, monotonous nuclei, and variable cell shapes, supporting the diagnosis of vaginal leiomyoma. During postoperative monitoring, there was no vaginal bleeding. Thereafter, on the day following surgery, it was found that the right labium major was swollen. This was treated with anticoagulants, topical NSAIDs, and a sitz bath. The patient was discharged from the hospital in good condition and had an uneventful postoperative recovery. Conclusion: Although the incidence of vaginal leiomyoma is uncommon, precise early diagnosis and appropriate management might improve outcomes, particularly in rural areas.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Early diagnosis and appropriate management of vaginal leiomyoma in rural areas

Nizomy,

Budinurdjaja,

Armanza

et al. 2024

MOG

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“…Such tumors usually arise from the anteriorivaginal wall and are therefore often misdiagnosed as cystocele ( 5 ). They can cause various clinical presentations, even leading to damage to adjacent organs ( 5 , 6 ).…”

Section: Introductionmentioning

confidence: 99%

Extrauterine leiomyomas in uncommon locations: two case reports and literature review

Yavuz,

Kula,

Bayramoğlu

et al. 2024

Front. Med.

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ObjectivesThis study aims to provide an overview of the diagnosis, treatment, and follow-up management of vulvar and vaginal leiomyomas through the presentation of two rare cases.MethodsDetailed clinical presentations, surgical procedures, histopathological examinations, and follow-up outcomes of two cases of vulvar and vaginal leiomyomas are described. Relevant literature is also reviewed to contextualize the findings.ResultsBoth patients underwent successful surgical excision of the leiomyomas with no perioperative or postoperative complications. Histopathological examinations confirmed the diagnosis of leiomyoma based on characteristic microscopic features and immunohistochemical analyses.ConclusionVulvar and vaginal leiomyomas are rare benign tumors that require careful evaluation for accurate diagnosis and appropriate management. Surgical excision remains the primary treatment modality, and long-term follow-up is essential for monitoring recurrence and ensuring favorable outcomes.

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Transvaginal excision of vaginal paraurethral leiomyoma: A video case report

Cited by 2 publications

References 7 publications

Early diagnosis and appropriate management of vaginal leiomyoma in rural areas

Early diagnosis and appropriate management of vaginal leiomyoma in rural areas

Extrauterine leiomyomas in uncommon locations: two case reports and literature review

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