Urethral Leiomyoma: A Rare Clinical Entity.

Ng Beng Kwang,Lim Pei Shan,Azyani Yahaya,Aruku Naidu

doi:10.1155/2016/6037104

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.

Highlights

Leiomyomas are benign tumours of smooth muscle, which commonly occurred at the genitourinary tract like uterus
We describe an unusual case of urethral leiomyoma that was mistaken as urethral prolapse
A 31-year-old nulliparous with primary subfertility for 4 years presented with one-week history of painful swelling at the urethral meatus associated with lower urinary tract symptoms

Summary

Introduction

Leiomyomas are benign tumours of smooth muscle, which commonly occurred at the genitourinary tract like uterus. Extrauterine leiomyoma are rare especially in the deep soft tissue like female urethra. Presence of a urethra mass poses a significant diagnostic challenge as its differential diagnosis includes an extensive list of both benign and malignant pathologies of gynaecological or urologic origin. We describe an unusual case of urethral leiomyoma that was mistaken as urethral prolapse

Case Report

Findings

Discussion