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Paraurethral leiomyoma in a female causing urinary obstruction
Homero Bruschini1, Jose Carlos Truzzi, Rogerio Simonetti
1Division of Urology, Federal University of Sao Paulo, Paulista School of Medicine, Rua Barata Ribeiro 414, cj 3, Sao Paulo, SP-Brazil, 01308-000, Brazil. bruschini@uol.com.br
Summary
We describe a rare case of paraurethral leiomyoma, a benign tumor, presenting with urinary symptoms in a female patient. Surgical removal was successful, offering insights into managing this uncommon condition.
Area of Science:
- Urology
- Gynecologic Oncology
Background:
- Paraurethral leiomyomas are rare benign tumors originating from smooth muscle tissue near the urethra.
- They can cause lower urinary tract symptoms, mimicking other conditions.
Observation:
- A female patient presented with dysuria and a sensation of incomplete voiding.
- Physical examination revealed a mass in the anterior vaginal wall.
Findings:
- Diagnosis was confirmed via ultrasonography, pelvic MRI, and ultrasound-guided needle biopsy.
- Surgical excision was performed successfully without complications to the urinary tract.
Implications:
- This case highlights the importance of considering paraurethral leiomyoma in the differential diagnosis of female lower urinary tract symptoms.
- The successful surgical approach provides a potential management strategy for similar cases.