Leiomyoma of the female urethra: urodynamic changes after surgical intervention.
Leiomyoma of the urethra is a relatively rare condition often presenting as an anterior vaginal wall mass or a mass that protrudes from the urethral meatus. We report on the urodynamic changes after vaginal surgery to remove a suburethral leiomyoma, which protruded from the vaginal orifice resulting in dysuria and dyspareunia. Urodynamic studies before the operation revealed a high detrusor pressure, low maximum flow rate with an elevated post-void residual urine on voluntary voiding, and high resting urethral resistance. Removal of the mass with proper reconstruction of paraurethral support restored normal detrusor pressure, maximum flow rate, and post-void residual, resulting in amelioration of her voiding difficulty and dyspareunia. The operative procedure did not affect leak point pressure and she is free from stress urinary incontinence.
Goto
Kenji
K
Department of Obstetrics and Gynecology, University of Fukui, 910-1193, Matsuoka-Cho, Yoshida-Gun, Fukui, Japan. kengoto@fmsrsa.fukui-med.ac.jp
Orisaka
Sanae
S
Kurokawa
Tetsuji
T
Miyazaki
Mika
M
Kotsuji
Fumikazu
F
D000328:Adult; D004414:Dyspareunia / Q000209:etiology; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D020127:Recovery of Function / Q000502:physiology; D014523:Urethral Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D016055:Urinary Retention / Q000209:etiology*; D014563:Urodynamics / Q000502:physiology*