Paraurethral leiomyoma in a female causing urinary obstruction

Bruschini, Homero; Truzzi, José Carlos; Simonetti, Rogério; Mesquita, Roberto; Delcelo, Rosana; Szenfeld, Jacob; Srougi, Miguel

doi:10.1007/s00192-005-1329-y

Cited by 8 publications

(5 citation statements)

References 13 publications

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“…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.…”

Section: Discussionmentioning

confidence: 99%

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

Rezai¹,

LoBue²,

Bahl³

et al. 2017

OGIJ

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Leiomyoma is a benign mass of smooth muscle cells that most frequently occurs in the gastrointestinal and genitourinary system. However, leiomyomas arising from the female urethra, especially paraurethral, are exceedingly rare. We present a case of a true paraurethral leiomyoma. The initial presenting complaints were dyspareunia, increased urinary frequency, and a 1.8 cm lesion in the anterolateral wall of the vagina that was suspicions of a Gartner's duct cyst. However, the patient was lost to followup for 5 years. On return, the patient continued to complain of dyspareunia, urinary frequency, suprapubic pain, and dysuria. The patient was treated for multiple instances of urinary tract infections (UTIs) without symptomatic improvement. A pelvic MRI demonstrated a 3.8 x 4.1 x 4.7 cm mass within the left anterior aspect of the lower cervix/vagina. Cystoscopy was notable for an unremarkable urethra with an anterior vaginal wall mass extrinsically pushing the bladder trigone without penetration into the bladder mucosa or communication with the ureter or vagina. A biopsy from the paraurethral mass revealed well-delineated cells with low mitotic figures encompassed in a fibrous capsule non-adherent to adjacent structures. The mass was subsequently excised through the anterior vaginal wall with no complications and complete resolution of symptoms.

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Section: Discussionmentioning

confidence: 99%

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

Rezai¹,

LoBue²,

Bahl³

et al. 2017

OGIJ

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“…Despite the fact that PLs are benign tumors, most studies recommend that the PL is removed in order to rule out a leiomyosarcoma [ 5 ]. Other differential diagnosis should be made with urethral diverticula, vaginal cysts, urethrocele, Gartner's cysts, and Skene's duct abscess [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Paraurethral Leiomyoma in a Postmenopausal Woman: First European Case

Shim

Borg

Majeed

et al. 2015

Case Reports in Obstetrics and Gynecology

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Leiomyomas are benign tumors extending from smooth muscle cells and only few cases of paraurethral leiomyomas have been described in the literature. They are often seen in the reproductive age and around 50% of the cases are asymptomatic. We describe a 59-year-old woman with a solid mobile tumor below the symphysis revealed at a gynecological examination. Transvaginal ultrasound and MRI confirmed the tumor and excision of the paraurethral tumor was carried out. The histological examination showed a benign paraurethral leiomyoma. The postoperative period was characterized by urethral pain as well as vaginal leakage of urine.

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“…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. 6 The differential diagnosis includes cystocele, urethrocele, Gartner's duct cyst, urethral diverticula, vaginal cyst, Bartholin gland cyst and vaginal malignancy.…”

Section: Discussionmentioning

confidence: 99%