Urethral Leiomyoma in Females: Report of 3 Cases (original) (raw)

Urethral Leiomyoma: A Rare Clinical Entity

Case Reports in Surgery, 2016

Extrauterine leiomyomas are encountered occasionally, which can pose a diagnostic dilemma and challenge to the gynaecologist. We report a rare case of urethral leiomyoma. A 31-year-old woman with history of primary subfertility presented with mass at her urethral meatus and lower urinary tract symptoms. She underwent examination under anaesthesia and excision of the urethral mass. Histopathological examination confirmed leiomyoma. Diagnosis and management of this common growth situated at a rare location were reviewed and discussed.

Imaging Diagnosis of Urethral Leiomyoma, usual Tumour at an Unusual Location

Journal of clinical and diagnostic research : JCDR, 2014

Leiomyomas are benign tumours of smooth muscle origin and are the most common uterine masses in females of reproductive age group. Extrauterine leiomyomas are also encountered occassionally and most commonly they involve the genitourinary tract. Leiomyomas arising from urethral smooth muscle are exceptionally unusual which can pose a diagnostic dilemma. Patients usually present with urinary complaints and an intraluminal soft tissue mass bulging from urethral meatus. We are presenting the imaging findings of leiomyoma of distal urethra presenting as a perineal mass with histopathological correlation.

Leiomyoma of the Female Urethra with Intermittent Urinary

2013

Urethral leiomyomas are rare begin mesenchymal tumors that arise from the smooth muscle of the urethra. Most reported cases in the literature have occurred in women of child bearing age. These tumors present with a variety of symptoms. Excision is curative however occasional cases of relapse have been described. Here we describe a case of a female teenager who presented with intermittent urinary retention and final histopathological diagnosis of leiomyoma of the distal urethra following excision. She had an uneventful recovery and has remained completely symptom-free. To the best of our knowledge, this is first case of urethral leiomyoma in Pakistan that has presented with a history of recurrent urinary retention.

Urethral and paraurethral leiomyomas in the female patient

2006

Urethral leiomyomas in women arise from the smooth muscle of the urethra and are rare, benign urethral tumors seen primarily in women. We present three cases of urethral leiomyomas identified over a 30-year period at our institution. A 45-year old woman presented with a 1 year history of frequency, nocturia, and hesitancy and was found to have both a 2-cm proximal urethral and a 3-cm posterior bladder leiomyoma. She developed stress urinary incontinence postoperatively and was treated with a Burch colposuspension. A 33-year old woman with hematuria was found to have both a 3-cm urethral and a 3-cm paraurethral leiomyoma at the bladder neck. A 21-year old without urinary complaints was found to have a 3-cm leiomyoma at the urethral meatus. Urethral leiomyomas must be differentiated from paraurethral leiomyomas, which are often asymptomatic and may be removed without disrupting the urethral mucosa or smooth muscle. The removal of urethral myomas may be complicated by the development stress urinary incontinence or urethral stricture.

Anterior Wall Urethral Leiomyoma of the Distal Urethra – A Case Report

National Journal of Laboratory Medicine, 2013

Urethral leiomyomas are uncommon smooth muscle lesions usually affecting the proximal segment and the anterior wall of the urethra. These lesions are cured by simple excision. We present a 35-year-old lady with urethral leiomyoma of the distal portion of the urethra arising from the anterior wall and presenting as mass per urethra. The patient was treated by surgical excision and there was no recurrence on follow up.

Female Urethral Leiomyoma- A Rare Tumor Treated with Transurethral Resection (TUR)

International Journal of Health Sciences and Research, 2015

Female urethral leiomyoma is a rare benign condition. We present two cases who were treated with transurethral resection of tumor. Case 1:A- 60-year-old female presented with complains of dysuria and suprapubic pain. Case 2: A 40- years- old female presented with repeated episodes of urinary tract infection and obstructive urinary complaints. Cystourethroscopy was done in both the case which revealed urethral masses. Both the patients underwent Transurethral resection (TUR) using monopolar cautery and glycine. On histopathology it was diagnosed as leiomyoma. Urethral leiomyomas should be kept in mind as differential diagnosis for urethral mass. Transurethral resection should be the treatment of choice.

Laparoscopic management of a large urethral leiomyoma

International Urogynecology Journal, 2019

Introduction and hypothesis A 42-year-old female presented with a 12-cm mass bulging the anterior vaginal wall and causing urgency urinary incontinence and bulk symptoms. Methods Imaging showed a tumor originating from the dorsal and cranial part of the urethra and developing in the vesicouterine space and vesicovaginal septum, dislocating the bladder ventrally and the uterus cranial-dorsally. Results Tranvaginal biopsy showed a benign leiomyoma. A laparoscopic approach with development of the vesicouterine space permitted a safe partial morcellation of the myoma. After the bladder and vaginal wall had been completely freed, further caudal dissection was conducted with isolation of the distal cranio-dorsal portion of the urethra. The dissection plane with the vaginal wall was developed up to the caudal margin of the urethral myoma almost corresponding to the vulvar plane, and total excision of the lesion was performed. Conclusion Laparoscopic management of urethral leiomyomas that develop into the vesicouterine space and vesicovaginal septum is feasible and safe also for very large lesions.

Primary leiomyosarcoma of the male urethra: a case report

Cases Journal, 2009

Background: Cancers of the male urethra constitute less than 1% of all malignant urological tumours, and the occurrence of sarcomas in the urethra is even less frequent. To our knowledge, only one case has been previously described in the English literature. Case presentation: We report the clinical features, histology, imaging and treatment of urethral leiomyosarcoma in a male patient. Conclusion: The occurrence of sarcoma in the urethra is most unusual, and its appearance as a primary growth in the male urethra is not recorded in the English literature. In conclusion, this case highlights a rare type of primary male urethral malignancy that features a poor prognosis.

Female paraurethral leiomyoma: a case report

African Journal of Urology, 2021

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.

Leiomyoma of the Urinary Bladder: A Review and Update

Journal of Clinical and Translational Urology, 2019

Leiomyoma of the urinary bladder / leiomyoma of the ureter is a very rare benign tumour of smooth muscle origin which has been reported sporadically globally. Leiomyoma of the urinary bladder/ureter may be diagnosed incidentally during investigation of various conditions including infertility and hepatitis. Leiomyoma of the urinary bladder / ureter may manifest in female as well as in a male patient with non-specific symptoms including lower urinary tract symptoms / retention of urine, haematuria, loin pain/discomfort, urinary tract infections and cystitis. The general and systematic examinations may be normal but at times there may be a palpable mass within the area of the urinary bladder on bimanual examination but not always. There may occasionally be tenderness in the loin. The results of routine haematology and biochemistry blood tests would generally tend to be normal but there may be anaemia and impairment of renal function some cases of visible haematuria and obstruction of ...