Leiomyoma of the female urethra: a case report and review

A Case of Retroperitoneal Metastases That Occur 14 Years After Surgery

Endometrial Stromal Sarcomas are rare malignant tumours of the uterus. We report the case of incidental finding of Low-Grade Endometrial Stromal Sarcoma (LGESS) that metastasized to the retroperitoneum 14 years after the original surgery in a 72-year-old woman. The patient underwent a laparotomy and excision of all tumour nodules. Considering the common recurrence of and slow growing nature of LGESS, appropriate treatment options like surgical excision and life-long follow up should be considered.

Vaginal Approach to Excise a Rare Paraurethral Leiomyoma

Leiomyomas are benign tumors of smooth muscle origin occurring throughout the genitourinary system. While leiomyomas in the uterus are frequently seen, urethral and paraurethral leiomyomas are extremely rare with a hand full of cases in the literature. Typically, periurethral leiomyomas can present with a mass protruding from the urethra originating from the proximal and posterior portion of the urethra. Herein, we present a new case of a paraurethral leiomyoma causing mass effect on the bladder leading to lower urinary tract symptoms (LUTS) with no gross involvement of the urethra.

Angioleiomyoma of urethra: A case report

INTRODUCTION

Angioleiomyomas are benign smooth muscle tumors that arise from blood vessel walls and commonly involve the deep dermal and subcutaneous tissue. Urethral angioleiomyomas are only rarely seen with only less than 5 cases reported in literature.

PRESENTATION OF CASE

We herein present a case of a 72 year old man who presented with gross hematuria. Cystoscopy showed a polypoid urethral lesion that was resected and on pathologic examination was diagnosed as angioleiomyoma.

DISCUSSION

Differential diagnoses of a urethral polypoid lesion, including inflammatory and neoplastic conditions are discussed. The main emphasis is on recognition and review of angioleiomyoma features when presenting in commonly encountered locations and other sites that are only rarely involved.

CONCLUSION

This rare case reports an elderly patient with angioleiomyoma in an extremely unusually encountered location and presenting with unusual symptoms of gross hematuria that did not recur after resection of the lesion.

Recurrent huge leiomyoma of the urethra in a female patient: A case report

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.

A Rapidly Growing Paraurethral Myoma with Profuse Bleeding from a Mucosal Vessel: Report of a Case

Paraurethral leiomyoma is rare. This is the first reported case of a woman with a 6 x 7 x 5 cm urethral leiomyoma with profuse vaginal bleeding. The site of bleeding was identified as the anterior vaginal mucosal vein, which we subsequently electrocauterized. Enucleation of the mass was performed smoothly with a Foley catheter to avoid damage to the urethra. Profuse bleeding from a paraurethral myoma is possibly due to increased vascularity and the prolapsed nature of the tumor in this area.

Paraurethral leiomyoma in a female causing urinary obstruction

We report a case of paraurethral leiomyoma in a female patient, in which the first symptoms were dysuria and sensation of incomplete voiding. The physical examination revealed a mass in the anterior vaginal wall. The diagnosis was made through ultrasonography and pelvic MRI and confirmed by transvaginal ultrasound-guided needle biopsy. The surgical excision was accomplished without opening the urinary tract. A review of the relevant published studies and a suggestion for the appropriate management of these cases are included.

Urethral and paraurethral leiomyomas in the female patient

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.

MRI appearance of a leiomyoma of the female urethra

Leiomyomas are rare in the urinary tract, with the kidney capsule being the most common location [1]. Leiomyoma of the female urethra is very rare. In 1992, Cheng et al. reviewed a total of 29 cases. They concluded that urethral leiomyoma is a rare condition that is difficult to distinguish clinically from other urethral lesions and that a histological diagnosis is essential [2]. Although we agree that the histological diagnosis is essential, magnetic resonance imaging (MRI) provides useful pre-operative information in cases of leiomyoma of the female urethra, as our present case indicates. To our knowledge we report the second case of a primarily diagnostic approach with MRI for leiomyoma of the female urethra. Ikeda, R. (2001). Clinical Radiology56, 76-79.

[Leiomyoma of the female urethra]

Leiomyoma of the female urethra is a benign mesenchymal tumour highly infrequent in the clinical practice. There is controversy as to its degree of oestrogen hormone dependency and its diagnosis is reached only after pathohistological study of the resection specimen. This type of tumour has excellent prognosis, with few tumoral relapses and no case of malignant transformation having been reported for the time being. Contribution of one case report of leiomyoma of the female urethra with typical clinical-epidemiological features but very uncommon from a topographic insight, as it was located in the anterior side of the distal urethra.

Leiomyoma of the female urethra

Leiomyoma of the female urethra is an uncommon but benign condition. The authors report two additional cases of successfully operated neoplasms. The difficulties of the diagnosis, differential diagnosis, the surgical treatment and the complications are discussed.