Female paraurethral leiomyoma: a case report

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.

Paraurethral Leiomyoma as an Incidental Finding in Patient with Fibroid Uterus

Paraurethral leiomyomas are rare benign fibromuscular tumors developing from urethra. The presenting symptoms are usually related to mass effect. We present a case of an incidental diagnosis of a paraurethral leiomyoma in a patient with a fibroid uterus. Case was managed by hysterectomy concurrent with periurethral leiomyoma excision. Patient had uncomplicated clinical course. Due to close localization of paraurethral leiomyoma to urethra and bladder care must be taken to minimize the injury during resection.

Paraurethral leomyoma: a manageable challenge

Leiomyoma is a most common benign tumour of uterus. But it is very rare in vagina urethral and paraurethral. There are approximately 330 case reports are available in literature and the paraurethral site is extremely uncommon. Here, we report a case of 38-year nulliparous woman presented with complain of mass coming out of vagina as well as dyspareunia. Provisional diagnosis of anterior vaginal cyst along with the differential diagnosis of paraurethral and anterior wall vaginal leiomyoma was made. Transvaginal removal of mass was done and diagnosis of paraurethral leiomyoma was confirmed by histopathology.