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Diagnostic considerations in coexisting bladder and urethral leiomyomata. A case report
1Department of Obstetrics and Gynecology, University of Southern California School of Medicine, Los Angeles 90033, USA.
The Journal of Reproductive Medicine
|September 1, 1995
Summary
This case report details the first known instance of coexisting urethral and bladder leiomyomata in a woman. These rare lower urinary tract tumors highlight the importance of considering them in diagnoses.
Area of Science:
- Urology
- Gynecologic Oncology
- Pathology
Background:
- Leiomyomata (benign smooth muscle tumors) are uncommon in the lower urinary tract of women.
- Coexistence of urethral and bladder leiomyomata has not been previously documented.
Observation:
- A 45-year-old woman presented with lower urinary tract symptoms including frequency, nocturia, and hesitancy.
- Imaging revealed a mass at the bladder neck; urethrocystoscopy showed a bulge without mucosal involvement.
- Surgical excision revealed two distinct leiomyomata, one originating from the urethra and the other from the bladder.
Findings:
- Histological examination confirmed both masses as leiomyomata.
- Complete surgical resection of both the urethral and bladder leiomyomata was achieved.
Implications:
- Lower urinary tract leiomyomata should be included in the differential diagnosis for anterior vaginal masses in premenopausal women.
- This case expands the known clinical presentations of leiomyomata.