Recurrence of urethral leiomyoma: A case report

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Abstract

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.

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Urethral and paraurethral leiomyomas in the female patient.

Charles Ballard, Mehmet Ozel (2005)

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.

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Female paraurethral leiomyoma successfully excised through a vaginal approach: A case report.

Ko Harada, Yoko Ishikawa, Haruna Fujiwara … (2018)

Paraurethral leiomyomas are extremely rare, and few cases have been reported in the literature. Because of the rarity of the disease and its anatomical complexity, diagnosis and management is challenging for clinicians. Here, we herein report the case of a 50-year-old woman who complained of a protruding mass at the urethral opening. Magnetic resonance imaging revealed a sharply defined tumor measuring 43 × 36 × 26 mm in diameter, located in the anterior vaginal wall, compressing the urethra. Based on the perioperative diagnosis of leiomyoma, the paraurethral tumor was excised via the vaginal approach. The patient was discharged 4 days postoperatively without any complications. Pathological features confirmed the diagnosis of leiomyoma. This case implies that, although there is the possibility of complications due to the surgical procedure, tumor removal is a reasonable choice for management to exclude malignancy and relieve symptoms.