Paraurethral Leiomyoma as an Uncommon Cause for Female Urethral Obstruction: Report of Two CasesCorrespondence Address :
Dr. Subramanian Ekambaram Sivanandam,
Senior Consultant, Department of Urology, Sri Narayani Hospital and Research Centre, Vellore-632055, Tamil Nadu, India.
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.
Leiomyoma, Lower urinary tract symptoms, Urethral diseases
Vilvapathy Senguttuvan Karthikeyan, Subramanian Ekambaram Sivanandam, Jeyaraj Veena, Venugopal Mohan, Aswathaman Karthikeyan. PARAURETHRAL LEIOMYOMA AS AN UNCOMMON CAUSE FOR FEMALE URETHRAL OBSTRUCTION: REPORT OF TWO CASES. Journal of Clinical and Diagnostic Research [serial online] 2019 February [cited: 2019 Apr 18 ]; 13:PD06-PD08. Available from
Date of Submission: Jul 04, 2018
Date of Peer Review: Aug 08, 2018
Date of Acceptance: Dec 18, 2018
Date of Publishing: Feb 01, 2019
FINANCIAL OR OTHER COMPETING INTERESTS: None.
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