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

Yue-Hong Shen,Kai Yang

doi:10.3892/ol.2014.1991

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.

Highlights

Urethral leiomyomas are rare mesenchymal benign tumors of smooth muscle origin that occur almost exclusively in females [1]
Surgical excision is the first choice of treatment for these tumors and the prognosis has been good with the exception of one reported case of local recurrence [9]
Leiomyomas are benign tumors of smooth muscle origin that occur throughout the genitourinary system, most commonly in the renal capsule [7]

Summary

Introduction

Urethral leiomyomas are rare mesenchymal benign tumors of smooth muscle origin that occur almost exclusively in females [1]. To the best of our knowledge, only ~100 cases have been reported in the literature [1,2,3,4,5,6,7,8]. Surgical excision is the first choice of treatment for these tumors and the prognosis has been good with the exception of one reported case of local recurrence [9]. A rare case of huge urethral leiomyoma recurrence in a Chinese female is reported. The patient was carefully followed up without any other treatment, and no sign of recurrence was observed in the first year post‐surgery

Discussion

Leidinger RJ and Das S

Merrell RW and Brown HE