Paraurethral Leiomyoma During Pregnancy: A Case Report and Review of the Literature
Badr, MR; Higazy, Ahmed; Abuelbaga, MMRS; Mostafa, DEM;
Abstract
A leiomyoma is a benign tumor of smooth-muscle cells that can arise from the genitourinary or gastrointestinal systems. Leiomyomas arising from the urethra or paraurethral areas are uncommon, and there are few reported cases. Case: A 25-year-old female presented with a painless paraurethral swelling during her first trimester of pregnancy. This swelling progressively increased in size, causing obstructive urinary symptoms. Examination under anesthesia was performed, and diagnostic cystoscopy-urethroscopy was performed prior to surgical excision of the mass to ensure that the site of origin had no urethral communication. Results: Histopathologic evaluation confirmed the diagnosis of a leiomyoma. No postoperative complications were noted, and the patient's urinary symptoms were relieved. Conclusions: It is important to differentiate a urethral leiomyoma that presents mainly with obstructive urinary symptoms and requires surgical endoscopic resection from a paraurethral leiomyoma that presents mainly as an asymptomatic freely mobile lump and does not communicate with the urethra, having a clear line of cleavage in between. (J GYNECOL SURG 36:144)
Other data
Title | Paraurethral Leiomyoma During Pregnancy: A Case Report and Review of the Literature | Authors | Badr, MR; Higazy, Ahmed ; Abuelbaga, MMRS; Mostafa, DEM | Keywords | leiomyoma;paraurethral mass;benign urethral tumors;leiomyoma during pregnancy;urogenital tumors;URETHRA;EXPRESSION | Issue Date | 2020 | Publisher | MARY ANN LIEBERT, INC | Journal | JOURNAL OF GYNECOLOGIC SURGERY | Volume | 36 | Issue | 3 | Start page | 144 | End page | 146 | ISSN | 1042-4067 | DOI | 10.1089/gyn.2019.0082 | Scopus ID | 2-s2.0-85085703434 | Web of science ID | WOS:000508939100001 |
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