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

A rare case of female urinary retention caused by urethral leiomyoma: A case report

INTRODUCTION AND IMPORTANCE

Female urethral leiomyoma is a rare benign tumor that originates from the smooth muscle cells in the urethra's wall. Surgical resection is often the primary treatment option. However, the tumor's location and size can present challenges for complete removal while preserving urethral function. Here, we report a case of female urethral leiomyoma causing chronic urinary retention and bladder diverticulum and provide a review of the existing literature on this rare condition.

PRESENTATION OF CASE

Following a hysterectomy, a 49-year-old Asian woman was referred to our department due to postoperative urinary retention, initially suspected to be iatrogenic urethral trauma. Cystography revealed bladder prolapse indicative of a cystocele and diverticula on the bladder wall. Pelvic MRI demonstrated a vaginal mass, along with multiple cervical cysts, bladder diverticulum, and urethral stricture.

CLINICAL DISCUSSION

Complete surgical excision of the mass and diverticulectomy were performed, with histopathological examination confirming the presence of urethral leiomyoma and bullous diverticulum. The surgical intervention successfully resolved the urinary retention and bladder diverticulum associated with the urethral leiomyoma. The patient experienced significant improvement in urinary symptoms and was discharged home with instructions for follow-up care.

CONCLUSION

This case highlights the importance of considering urethral leiomyoma as a potential cause of urinary retention in women. The successful surgical intervention emphasizes the importance of prompt and accurate diagnosis of urethral leiomyoma to prevent complications such as bladder diverticulum. Further research of similar cases is essential to better understand this rare condition's pathogenesis and optimal management strategies.

Long-term follow up of paraurethral leiomyoma: A case report and literature review

BACKGROUND

Paraurethral fibroid is a rare condition. To date, there is no unified protocol to guide long-term follow up in this condition. This study reviewed case reports and summaries published in the last 10 years and focused on the management plans and follow up of patients with paraurethral fibroids.

CASE PRESENTATION

We report the case of a 44-year-old woman who presented with urinary symptoms. Clinical examination and magnetic resonance imaging revealed an approximately 3 × 3 cm mass which was considered as a paraurethral fibroid. Complete surgical excision was performed. The patient was discharged with no postoperative complications. Histopathology confirmed the diagnosis of a benign leiomyoma.

CONCLUSIONS

Paraurethral fibroid is a rare condition which can be diagnosed with a high level of certainty based on clinical examination and imaging. A multidisciplinary team which includes experienced radiologists and urogynecologists or urologists who have the expertise to perform vaginal surgery with urethral reconstruction is essential for definitive management. Long-term follow up for expected possible complications is advisable. Further research with a larger number of cases is needed to recommend an evidence-based protocol for management of paraurethral fibroid.

Recurrence of urethral leiomyoma: A case report

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.

Urethral Leiomyoma: A Rare Clinical Entity

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.

Angiomyomatous Leiomyoma of a Female Urethral Meatus Recurrence After Seven Years of the Resection: A Case Report

A 20 years old woman had an external urethral orifice mass and received an excision operation. Seven years later, she complained a tumor with pain that was similar to the previous tumor. She underwent the tumor removal. Pathological diagnosis was a urethral angiomyomatous leiomyoma in the new concept of estrogen receptor-positive smooth muscle tumors.