Year : 2003 | Volume
: 19 | Issue : 2 | Page : 169--170
Leiomyoblastoma of the urethra
Dilip Kumar Pal
Department of Urology, Bankura Sammilani Medical College, Bankura, India
Dilip Kumar Pal
A-30, Govt. Housing Estate, Govindanagar, Side-B, Bankura - 722 102
|How to cite this article:|
Pal DK. Leiomyoblastoma of the urethra.Indian J Urol 2003;19:169-170
|How to cite this URL:|
Pal DK. Leiomyoblastoma of the urethra. Indian J Urol [serial online] 2003 [cited 2021 Jan 17 ];19:169-170
Available from: https://www.indianjurol.com/text.asp?2003/19/2/169/37158
Leiomyoma of the female urethra is a very rare condition. , Approximately 40 cases have been reported in the literature. , We report a case of leiomyoblastoma (Epitheloid leiomyoma) of the female urethra which usually occurs in the stomach or uterus, but seldom in the urethra.
A 28-year-old married woman presented with dysparunia due to a slow-growing mass for last two years, gradually protruding out of external genitalia. Physical examination revealed a mass arising from the upper lip of the urethra and hanging outside the vagina [Figure 1]. External urethral meatus was free from the mass. She did not have any voiding difficulty or haematuria.
Routine haematological and biochemical investigations were within normal limits. Cystourethroscopy suggested a mass arising near the external urethral meatus and the remaining urethra and bladder was normal. FNAC confirmed a benign tumour arising from smooth muscle. The mass was excised totally putting a catheter in the urethra.
Excised specimen was of 6 cm x 6 cm x 4 cm with a fleshy homogeneous cut surface. Histopathological examination showed a leiomyoblastoma [Figure 2]. The patient is asymptomatic without recurrence at one-year follow-up.
Leiomyoma of the urethra mainly occurs in the female, though a few reports of male urethral leiomyoma have been reported.  Leiomyoblastoma in the urethra is very rare condition and only few cases have been reported. 
Usually the patient presents with a mass, dysparunia and dysuria. ,, Sometimes the diagnosis may be confused with urethral caruncle.  Local surgical excision or transurethral ablation is the recommended treatment. , Histopathological examination confirms the diagnosis.
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