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Wen Z, Liu Y, Hao P, Yang X. Leiomyoma of the urethra: a rare benign tumor. J Int Med Res 2022; 50:3000605221126662. [PMID: 36168731 PMCID: PMC9523852 DOI: 10.1177/03000605221126662] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
We herein report a rare case of leiomyoma of the urethra. A young woman with no history of malignancy was referred to our hospital because of a 1-year history of frequent urination, urgency, and dysuria. Postoperative pathologic examination confirmed the diagnosis of urethral leiomyoma. After tumor resection, the patient was followed up for 2 months in the outpatient department and developed no obvious postoperative complications such as urinary incontinence.
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Affiliation(s)
- Zhi Wen
- Department of Urology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, China
| | - Yang Liu
- Department of Urology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, China
| | - Peng Hao
- Department of Urology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, China
| | - XueSong Yang
- Department of Urology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, China
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Popov SV, Orlov IN, Chernysheva DY, Grin’ EA. Urethral leiomyoma: A rare neoplasm. Urol Ann 2021; 13:194-197. [PMID: 34194152 PMCID: PMC8210724 DOI: 10.4103/ua.ua_90_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Accepted: 01/05/2021] [Indexed: 11/04/2022] Open
Abstract
Extrauterine leiomyoma is a rare benign tumor, originating from smooth muscle cells, most often localized in the uterus. Extrauterine localization of leiomyoma is extremely rare. The presence of a neoplasm near the urethra always poses a challenge for differential diagnosis. Variety of pathologies sharing similar clinical findings requires further diagnostic testing and doctor alertness. We present the clinical case of urethral leiomyoma in a female patient aged 42 years complaining of frequent urination and vulval mass. The patient underwent neoplasm removal with further histologic examination revealing urethral leiomyoma. The article features the diagnosis and treatment of this rare pathology.
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Affiliation(s)
- Sergey V. Popov
- Department of Urology, St. Luke's Clinical Hospital, Saint-Petersburg, Russia
- Department of Urology, Military Medical Academy Named After S.M. Kirova, Saint-Petersburg, Russia
- Department of Hospital Surgery, Saint-Petersburg State University, Medical Faculty, Saint-Petersburg, Russia
| | - Igor N. Orlov
- Department of Urology, St. Luke's Clinical Hospital, Saint-Petersburg, Russia
- Department of Urology, North-Western State Medical University Named After I.I. Mechnikov, Saint-Petersburg, Russia
| | | | - Evgeniy A. Grin’
- Department of Urology, St. Luke's Clinical Hospital, Saint-Petersburg, Russia
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Qazi I, Reddy Pogula V, Galeti E, Galeti A. Female anterior urethral wall leiomyoma: A rare presentation. JOURNAL OF CURRENT RESEARCH IN SCIENTIFIC MEDICINE 2021. [DOI: 10.4103/jcrsm.jcrsm_26_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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4
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Jiménez Navarro M, Ballesta Martínez B, Rodríguez Talavera J, Amador Robayna A. Recurrence of urethral leiomyoma: A case report. Urol Case Rep 2019; 26:100968. [PMID: 31367525 PMCID: PMC6656683 DOI: 10.1016/j.eucr.2019.100968] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2019] [Accepted: 07/16/2019] [Indexed: 11/17/2022] Open
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.
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Urethral Leiomyoma: A Rare Clinical Entity. Case Rep Surg 2016; 2016:6037104. [PMID: 27999705 PMCID: PMC5141528 DOI: 10.1155/2016/6037104] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2016] [Accepted: 11/09/2016] [Indexed: 11/18/2022] Open
Abstract
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.
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6
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Primary urethral leiomyoma in a female patient: A case report and review of the literature. AFRICAN JOURNAL OF UROLOGY 2015. [DOI: 10.1016/j.afju.2014.11.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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7
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Shen YH, Yang K. Recurrent huge leiomyoma of the urethra in a female patient: A case report. Oncol Lett 2014; 7:1933-1935. [PMID: 24932262 PMCID: PMC4049677 DOI: 10.3892/ol.2014.1991] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2013] [Accepted: 02/02/2014] [Indexed: 11/29/2022] Open
Abstract
Urethral leiomyoma is an extremely rare condition that arises from the smooth muscle of the urethra. To the best of our knowledge, there is only a single reported recurrence treated by a repeat excision in the literature to date. The present study reports an exceptionally rare case of a recurrent huge leiomyoma of the female urethra. The 47-year-old female was diagnosed with a huge mass located between the urethra and vagina during a gynecological examination. The patient had no symptoms and was successfully treated with transabdominal excision. Pathological examinations revealed a leiomyoma of the urethra. The patient was followed up for one year without any sign of recurrence.
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Affiliation(s)
- Yue-Hong Shen
- Department of Urology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang 310003, P.R. China
| | - Kai Yang
- Department of Urology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang 310003, P.R. China
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8
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Affiliation(s)
- T Elhadari
- Department of Obstetrics and Gynaecology, Torbay Hospital , Torquay , UK
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9
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Ozel B, Ballard C. Urethral and paraurethral leiomyomas in the female patient. Int Urogynecol J 2005; 17:93-5. [PMID: 15905997 DOI: 10.1007/s00192-005-1316-3] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2004] [Accepted: 03/07/2005] [Indexed: 10/25/2022]
Abstract
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.
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Affiliation(s)
- Begüm Ozel
- Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of Southern California, Los Angeles, CA, USA.
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BHATI ANANT, GARDNER SANDY, HUSSEINZADEH NADER, BHATI AMAR. Urethral Leiomyoma: A Case Report and Discussion. J Gynecol Surg 1999. [DOI: 10.1089/gyn.1999.15.93] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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11
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Lodh U, Kumar S, Mohapatra TP, Ramesh B, Subramanyam C, Ratnakar C. Leiomyoma of the female urethra. Aust N Z J Obstet Gynaecol 1993; 33:99-100. [PMID: 8498957 DOI: 10.1111/j.1479-828x.1993.tb02070.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Affiliation(s)
- U Lodh
- Department of Urology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India
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Affiliation(s)
- C Cheng
- Department of Surgery, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin
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13
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Abstract
Smooth muscle tumors of the female urethra are uncommon lesions. Only a few cases of leiomyoma of the female urethra have been reported in the literature. We describe 2 additional cases, review the literature on this rare neoplasm and discuss its management.
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Affiliation(s)
- M Fry
- Department of Urology, Louisiana State University Medical Center, Shreveport
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