Paraurethral Leiomyoma

Abstract

Paraurethral leiomyoma is a rare, benign, hormone-dependent neoplasm of mesenchymal origin affecting women. The clinical evidence varies, but it tends to be asymptomatic or associated with the sensation of a foreign body; urinary symptoms are rarely described. The distinction among urethral, paraurethral, and anterior vaginal wall leiomyoma can be very difficult owing to their anatomic proximity. Excision of the mass is the recommended treatment, and the diagnosis is confirmed by the pathologic finding to rule out the presence of a sarcoma. A case of paraurethral leiomyoma associated with dysuria, dyspareunia, and obstructive voiding symptoms is reported.

A True Paraurethral Leiomyoma, A Case Report and Review of Literature

“…Signs and symptoms of vaginal, urethral, and paraurethral leiomyoma may present very similarly. Common complaints of all three include urinary tract infection, a mass, dyspareunia, urinary retention, hematuria, dysuria, dyspareunia, and obstructive voiding symptoms [6,[10][11][12][13][14][15]. Patients also may be completely asymptomatic.…”

Anterior Vaginal Wall Epitheloid Leiomyoma: A Case Report

“…A vaginal tumour may be mistaken for several other benign conditions of the vagina, including uterovaginal prolapse, vaginal cysts, urethral diverticulum and urethral or vaginal malignancy [4][5][6][7]. Vaginal fibroids are rare and only 300 cases have been reported in literature.…”

Vaginal paraurethral leiomyoma

“…6 Occasionally Paraurethral leiomyoma may cause urinary obstruction. 7 The distinction among urethral, paraurethral, and anterior vaginal wall leiomyoma can be very difficult owing to their anatomic proximity.…”

“…7 The distinction among urethral, paraurethral, and anterior vaginal wall leiomyoma can be very difficult owing to their anatomic proximity. 6 The differential diagnosis includes cystocele, urethrocele, Gartner's duct cyst, urethral diverticula, vaginal cyst, Bartholin gland cyst and vaginal malignancy. 8 Transabdominal and or transvaginal ultrasonography and MRI are helpful in establishing the morphology and relationship with adjacent anatomic structures although these tests are not mandatory pre-operatively.…”

“…Immunohistochemistry (IHC) for Smooth Muscle Actin (SMA) showed diffuse intense positivity in vascular wall and intervascular stroma confirming their smooth muscle nature ( Figure 3 and 4). 6 Patient is on follow up and is free of recurrence after a year.…”