Year : 2000 | Volume
: 16 | Issue : 2 | Page : 162--163
Female urethral leiomyoma - a case report
Rakesh Parashar, Joseph Philipraj, K Sasidharan
Division of Urology, Kasturba Medical College, Manipal, India
Division of Urology, KMC, Manipal - 576 119
|How to cite this article:|
Parashar R, Philipraj J, Sasidharan K. Female urethral leiomyoma - a case report.Indian J Urol 2000;16:162-163
|How to cite this URL:|
Parashar R, Philipraj J, Sasidharan K. Female urethral leiomyoma - a case report. Indian J Urol [serial online] 2000 [cited 2020 Sep 29 ];16:162-163
Available from: http://www.indianjurol.com/text.asp?2000/16/2/162/22222
Leiomyoma of female urethra is a rare condition, with approximately 40 cases reported in literature. Most patients present with mass protruding per urethra and rarely with obstructive voiding. We report here an additional case of female urethral leiomyoma.
A 30-year-old unmarried woman presented with 1-year history of mass at urethral meatus, dysuria and voiding disability. Physical examination revealed a mass protruding from urethral meatus [Figure 1]. Routine laboratory investigations were within normal limits. Ultrasound disclosed normal kidneys and large capacity bladder with postvoid residual volume of 300 ml. Maximum urinary flow rate was 8 ml/sec.
Cystourethroscopy showed a mass arising from anterior wall of urethra extending from meatus up to 1 cm proximally. Remaining urethra and bladder was normal.
Mass was excised totally and urethral catheter drainage instituted for 5 days. Patient voided well on catheter removal with maximum flow rate of 22 ml/sec.
Histological diagnosis was benign leiomyoma [Figure 2].
Leiomyoma of urethra is a rare condition affecting more women than men.  It consists of benign smooth muscle. Anterior segment of urethra can be affected but proximal segment is the most common site.  Common presenting symptoms include urinary tract infection (64.3%) a mass (50%) and dysparunia. Urinary obstruction is rare.  Our patient presented with mass and obstructive symptoms.
Urethral leiomyoma protruding as a mass is difficult to differentiate from urethral caruncle which is a common female urethral pathology. In most of the cases, diagnosis is made on histological examination.  To our knowledge no malignant transformation has been reported. Local sur gical excision on transurethral ablation is recommended for urethral leiomyoma. 
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