Female paraurethral leiomyoma: treatment and long-term follow-up

Abstract

A well-defined protocol for diagnosing and managing a paraurethral mass had not been established as yet due the rarity of the mass. We suggest performing pelvic magnetic resonance imaging (MRI) as a primary examination, followed by lesion biopsy. Complete surgical resection performed transvaginally should be the treatment of choice. As paraurethral leiomyomas does not originate from intraurethral smooth-muscle component, urethral lesion is rare. Excision of female urethral leiomyoma transvaginally is safe, and postoperative urinary incontinence, if any, can be easily corrected with minimally invasive tecniques.

Urethral Leiomyoma: A Rare Clinical Entity

“…The tumour often found in women at reproductive age in their third and forth decades of life [2]. Moreover, the size of tumour decreased after menopause [3], which has led to speculation that the growth of urethral leiomyoma was hormonal dependent [2]. The tumour size was 1–7 cm on average [4–9].…”

Rare case of paraurethral leiomyoma

“…Until recently, only six cases of paraurethral leiomyoma had been reported. 1 The urethral (40) and vaginal (250) cases reported have all been welldocumented benign tumors. 2,3 Paraurethral tumors occur in the paraurethral space or vesicovaginal septum and are mostly asymptomatic but are sometimes associated with pain, dyspareunia and voiding problems.…”

“…An MRI is the primary examination method used, followed by biopsy and complete surgical excision, with the latter most being the treatment of choice. 9 The prognosis is typically excellent, as malignant transformations have not been reported and recurrences are rare. 9,10 Paraurethral leiomyomas are considered non-recurring due to complete resection.…”

“…9 The prognosis is typically excellent, as malignant transformations have not been reported and recurrences are rare. 9,10 Paraurethral leiomyomas are considered non-recurring due to complete resection. Therefore, the excision of all suspected paraurethral leiomyomas is recommended through the anterior vaginal wall.…”

“…They are the most common type of tumor in female reproductive organs, but rare outside the uterus. 1 Only a few cases of paraurethral leiomyoma have been discussed in the literature.…”