title: Leiomyoma of the female urethra with upper tract dilation and treatment with transurethral resection: a case report and literature review.
abstract: Leiomyoma of the female urethra is a rare condition. It is a benign mesenchymal tumor that commonly presents with recurrent urinary tract infections and various lower urinary tract symptoms. We report a case of urethral leiomyoma and review the literature. A 44-year-old woman presented with severe irritative voiding symptoms without urinary tract infection and bilateral upper urinary tract dilation. Ultrasound and cystoscopy revealed a smooth mass arising from the urethra and projecting into the bladder. Transurethral resection of the mass was performed and 32 g of tissue was removed. There were no complications and the symptoms resolved completely, indicating this to be a safe approach. Histopathology showed the tumor to be leiomyoma.
authors.affiliation: Department of Urology, Southmead Hospital, Bristol, United Kingdom.
authors.forename: H B
authors.initials: HB
authors.lastname: Joshi
authors.forename: R O
authors.initials: RO
authors.lastname: Beck
mesh_terms: D000328:Adult; D001707:Biopsy, Needle; D003558:Cystoscopy; D004108:Dilatation, Pathologic / Q000000981:diagnostic imaging; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007889:Leiomyoma / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery*; D012720:Severity of Illness Index; D014463:Ultrasonography; D014523:Urethral Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods*