Asynchronous bilateral leiomyomata of tunica vaginalis: A case report

Leiomyomata are smooth muscle tumours that are slow growing and benign. We report a case of bilateral leiomyomata arising from tunica vaginalis. A 65 year old presented with a 5-year history of a slow growing left testicular mass and underwent radical orchidectomy. He presented again 18 months later with a slow growing right testicular mass and underwent local surgical resection. In both the cases the diagnosis of tunica vaginalis leiomyoma was determined through subsequent histopathological analysis. We hope to inform urologists to be aware of this benign rare entity as it can be cured through a simple, organ preserving surgical excision.