Paraurethral Leiomyoma as an Uncommon Cause for Female Urethral Obstruction: Report of Two Cases

Abstract

Paraurethral Leiomyomas (PL) are rare benign mesenchymal tumours. Here, authors, report two premenopausal women presenting with obstructive urinary symptoms and a paraurethral vaginal swelling. They had firm mobile paraurethral masses. On magnetic resonance imaging, they were well-defined and no urethral invasion was noted. Surgical excision was performed in both women and histopathological examination confirmed benign spindle cell neoplasm suggestive of leiomyoma. After catheter removal, the patients voided well with maximum flow-rate of 27 mL/second and 25 mL/second respectively. Long-term follow-up is required as late recurrences and transformation to leiomyosarcoma have been reported.

Keywords

• leiomyoma
• lower urinary tract symptoms
• urethral diseases