Indian Journal of Urology
CASE REPORT
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

Correspondence Address:
Rakesh Parashar
Division of Urology, KMC, Manipal - 576 119
India




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


Full Text

 Introduction



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.

 Case Report



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].

 Comments



Leiomyoma of urethra is a rare condition affecting more women than men. [1] It consists of benign smooth muscle. Anterior segment of urethra can be affected but proximal segment is the most common site. [2] Common presenting symptoms include urinary tract infection (64.3%) a mass (50%) and dysparunia. Urinary obstruction is rare. [3] 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. [4] To our knowledge no malignant transformation has been reported. Local sur­ gical excision on transurethral ablation is recommended for urethral leiomyoma. [5]

References

1Leidinger RJ, Das S. Leiomyoma of female urethra. A report of two cases. J Repro Med 1995: 40: 229.
2Lee MC, Lee SD. Kuo HT, Huang TW. Obstructive leiomyoma of the female urethra: report of a case. J Urol 1995: 153: 420-421.
3Noto L. Obstructive urethral leiomyoma in a female. BrJ Urol 1983; 55: 239.
4Fry M, Wheeler JS Jr., Mata JA et al Leiomyoma of the female urethra. J Urol 1988: 140: 613-614.
5Leung YL. Lee F. Tam PC. Leiomyoma of female urethra causing acute urinary retention and acute renal failure. J Urol 1997: 158: 1911-1912.