2016
DOI: 10.1155/2016/6037104
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Urethral Leiomyoma: A Rare Clinical Entity

Abstract: Extrauterine leiomyomas are encountered occasionally, which can pose a diagnostic dilemma and challenge to the gynaecologist. We report a rare case of urethral leiomyoma. A 31-year-old woman with history of primary subfertility presented with mass at her urethral meatus and lower urinary tract symptoms. She underwent examination under anaesthesia and excision of the urethral mass. Histopathological examination confirmed leiomyoma. Diagnosis and management of this common growth situated at a rare location were … Show more

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Cited by 8 publications
(6 citation statements)
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“…About 25% of cases of urethral leiomyoma are asymptomatic, otherwise patients complained of urethral mass, hematuria, acute urinary retention, recurrent lower urinary tract infections, and vaginal bleeding. [ 1 3 4 ] Migliari et al noted that neoplasms located at 12 or 6 o’clock lead to obstructive urination symptoms, whereas laterally dislocated leiomyomas are more likely to manifest with irritative complaints. [ 5 ]…”
Section: Discussionmentioning
confidence: 99%
“…About 25% of cases of urethral leiomyoma are asymptomatic, otherwise patients complained of urethral mass, hematuria, acute urinary retention, recurrent lower urinary tract infections, and vaginal bleeding. [ 1 3 4 ] Migliari et al noted that neoplasms located at 12 or 6 o’clock lead to obstructive urination symptoms, whereas laterally dislocated leiomyomas are more likely to manifest with irritative complaints. [ 5 ]…”
Section: Discussionmentioning
confidence: 99%
“…Histopathology is the gold standard for diagnosis which shows interlacing fascicles of spindle-shaped smooth muscle cells with oval nuclei and eosinophilic cytoplasm under hematoxylin and eosin stain [9]. Immunohistochemistry is positive for desmin and smooth muscle cell antigen [10].…”
Section: Discussionmentioning
confidence: 99%
“…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%
“…These complaints disappeared after surgical treatment. The kidneys and bladder are the urinary system organs most commonly affected by leiomyomas, while the urethra is a rare location for such tumors (14,15). The etiopathogenesis of leiomyoma is unknown; however it is thought to be hormonedependent to a certain degree.…”
Section: Discussionmentioning
confidence: 99%