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Case Report
Female paraurethral leiomyoma: A lateral transvestibular approach to a symptomatic tumor
1 Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Simon Cancer Center, Indiana University, Indianapolis, Indiana, United States of America
3 Department of Urology, The Ohio State University, Columbus, Ohio, United States of America
Address correspondence to:
Farzaneh Sharifiaghdas
MD, No. 103, 9th Boostan St, Pasdaran St, Tehran, Tehran Province, Zip Code# 166668111,
Iran
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Article ID: 100173Z08NR2024
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How to cite this article
Rostaminejad N, Kianinejad N, Soltani-Tehrani A, Sharifiaghdas F. Female paraurethral leiomyoma: A lateral transvestibular approach to a symptomatic tumor. J Case Rep Images Obstet Gynecol 2024;10(1):38–42.ABSTRACT
We report a rare case of leiomyoma of the female urethra. A 31-year-old married woman, gravid and para one with no history of prior surgery, malignancy or other significant disease was referred to our clinic with a complaint of a mass protruding from the top of the vagina and difficulty voiding from 18 months ago. The mass had a rapid growth causing urinary obstructive symptoms, dyspareunia which turned to a vast palpable mass protruding the vagina. A definite surgical excision was launched via a lateral transvestibular approach demonstrating no attachment to the urethral tract. The histopathology report confirmed spindle cell tumor consistent with leiomyoma. During the 6-month follow-up period, there was no tumoral recurrence, and neither initial obstructive symptoms nor emerging de-novo incontinency were not observed. In resection of such tumors, care should be taken to spare urethral sphincter in order to prevent future incontinency.
Keywords: Genitourinary tract, Paraurethral leiomyoma, Tumor
SUPPORTING INFORMATION
Author Contributions
Niloofar Rostaminejad - Substantial contributions to conception and design, Acquisition of data, Interpretation of data, Drafting the article, Final approval of the version to be published
Nazanin Kianinejad - Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Amir Soltani Tehrani - Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Farzaneh Sharifiaghdas - Substantial contributions to conception and design, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2024 Niloofar Rostaminejad et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
