A very large leiomyoma of the urethra: A case report

Fedelini, Paolo; Chiancone, Francesco; Fedelini, Maurizio; Fabiano, Marco; Persico, Francesco; Lorenzo, Domenico Di; Meccariello, Clemente

doi:10.5301/uro.5000223

Cited by 5 publications

(6 citation statements)

References 17 publications

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“…In the present case, the tumor measured approximately 5.0cm and affected the entire length of the urethra, which is uncommon. 1,5,7 Although they may be asymptomatic at the initial clinical presentation, the most frequent symptoms are dyspareunia, urinary tract infection (UTI), mass effect (as an intravesical obstructive factor, causing urinary retention), and irritative symptoms in the lower urinary tract. 8 However, complaints related to urinary obstruction are rare symptoms and not an isolated presentation of the entire clinical picture, 5 as in the case presented here.…”

Section: Discussionmentioning

confidence: 99%

“…Leiomyomas are benign mesenchymal tumors of smooth muscle origin 1 and can develop in any tissue containing smooth muscle. The most common extrauterine locations are in the genitourinary system (vulva, ovaries, urethra, and urinary bladder) and the least common location is the gastrointestinal tract.…”

Section: Introductionmentioning

confidence: 99%

“…This is a condition that is so rare that merely less than 120 cases have been reported in the literature. 1 Categorized as deep-tissue leiomyomas, leiomyomas of the urethra are much larger than their superficial counterparts and generally exhibit a broader spectrum of histological alterations; hence, it is important to clearly distinguish them from leiomyosarcomas, which more frequently develop in deep soft tissues. 3 However, the definitive diagnosis can only be confirmed by a histopathological examination.…”

Section: Introductionmentioning

confidence: 99%

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Urethral leiomyoma: combined vaginal and abdominal approach – a case report

Souza

Leite

Liberato

et al. 2022

Rev. Bras. Saude Mater. Infant.

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Introduction: leiomyomas are benign mesenchymal tumors of smooth muscle origin that can develop in various locations. Urethral leiomyomas are rare, with approximately only 120 cases reported in the literature. These tumors often occur in the third and fourth decades of life but are rare in menopausal patients. In general, treatment involves surgery, only three recurrence reports in the literature. Description: a case report on a 56-year-old woman; the patient had type II diabetes mellitus and chronic high blood pressure, was overweight (body mass index, 27.1 kg/m2), and a smoker. Besides this, the patient presented symptoms of urinary obstruction and had a large urethral leiomyoma. The tumor was completely removed with no associated urethral lesions using a complex, combined abdominalvaginal surgical approach. Discussion: the management and treatment on urethral leiomyomas is challenging and have not been established yet due to the rarity of these tumors.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Urethral leiomyoma: combined vaginal and abdominal approach – a case report

Souza

Leite

Liberato

et al. 2022

Rev. Bras. Saude Mater. Infant.

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“…They mainly affect reproductive-age women in their third and fourth decades of life due to the fact that leiomyomas grow in a hormone dependent manner like uterine leiomyomas. Urethral leiomyoma is very rare, which found in this case, which is most frequently seen in the proximal urethra [1] , [5] . In this case, there was protrusion of the urethral external meatus.…”

Section: Discussionmentioning

confidence: 99%

Urethral leiomyoma: A rare cause of acute urinary retention

Barut¹,

Mohamud²

2022

International Journal of Surgery Case Reports

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“…Common symptoms include dysuria, weak urine flow, mass, dyspareunia, post-voiding drip, frequent bowel movements, and irritative lower urinary system symptoms. Occasionally, patients present with recurrent urinary tract infections (13,14). It should be kept in mind that acute urinary retention may develop in complete stenosis.…”

Section: Discussionmentioning

confidence: 99%

Urethral Leiomyoma: A Case Report

Alan¹,

Gökçü²,

Unluoglu³

et al. 2018

uob

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Leiomyomas are benign smooth muscle uterine masses most frequently seen in females during the period when they can give birth. Extrauterine leiomyomas are seen rare and where they are observed the most is the genitourinary tract. In general, patients come up with urinary and soft tissue mass near the urethral meatus related problems. Here we report a case of distal urethral leiomyoma in a 40-year old woman who was admitted with urethral obstructive symptoms and was operated for periurethral mass. Leiomyomas originating from the smooth muscle of the urethra, a rare location, are generally diagnosed following surgery. These leiomyomas should be treated with great care during surgery due to their unusual location. Patients who undergo surgery due to the presence of urethral stricture can also be seen after myomectomy.

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A very large leiomyoma of the urethra: A case report

Abstract: The patient was discharged after 3 days and no intraoperative and postoperative complications occurred. The Foley catheter was removed after a week. The patient was continent to urine, and at 6 months follow-up, the patient was symptom free and no recurrences occurred.

Cited by 5 publications

References 17 publications

Urethral leiomyoma: combined vaginal and abdominal approach – a case report

Urethral leiomyoma: combined vaginal and abdominal approach – a case report

Urethral leiomyoma: A rare cause of acute urinary retention

Urethral Leiomyoma: A Case Report

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