Urethral leiomyoma expressing estrogen receptors

Female paraurethral leiomyoma: treatment and long-term follow-up

INTRODUCTION

We describe our experience with evaluating the ideal management of female paraurethral leiomyomas from imaging to surgery and follow-up.

METHODS

Between January 2009 and January 2012, we treated six women (age range 32-49 years) affected by paraurethral leiomyoma of different sizes.

RESULTS

All the six patients underwent transvaginal excision of the mass. They are free of recurrence at follow-up (range 32-72 months). Two patients developed stress urinary incontinence after the excision: in both cases, incontinence was corrected by a tension-free vaginal tape-obturator (TVT-O) placement. In one patient, a fascial sling was necessary to repair a urethral lesion that developed during surgical excision of the mass.

CONCLUSION

A well-defined protocol for diagnosing and managing a paraurethral mass had not been established as yet due the rarity of the mass. We suggest performing pelvic magnetic resonance imaging (MRI) as a primary examination, followed by lesion biopsy. Complete surgical resection performed transvaginally should be the treatment of choice. As paraurethral leiomyomas does not originate from intraurethral smooth-muscle component, urethral lesion is rare. Excision of female urethral leiomyoma transvaginally is safe, and postoperative urinary incontinence, if any, can be easily corrected with minimally invasive tecniques.

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.

[Urethral leiomyoma during pregnancy: a case report]

The authors report a case of urethral leiomyoma diagnosed during pregnancy, which was conservatively treated up to the 38th week, when the pregnancy was interrupted. Thirty days after delivery, exeresis of the lesion was performed from the upper border of the urethral meatus and sutured with interrupted delayed-absorbable suture. The patient evolved favorably and presented no lesion recurrence during three months of follow up.