Key points are not available for this paper at this time.
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.
Rostaminejad et al. (Sat,) studied this question.