Paraurethral leiomyoma in a female causing urinary obstruction.
We report a case of paraurethral leiomyoma in a female patient, in which the first symptoms were dysuria and sensation of incomplete voiding. The physical examination revealed a mass in the anterior vaginal wall. The diagnosis was made through ultrasonography and pelvic MRI and confirmed by transvaginal ultrasound-guided needle biopsy. The surgical excision was accomplished without opening the urinary tract. A review of the relevant published studies and a suggestion for the appropriate management of these cases are included.
Bruschini
Homero
H
Division of Urology, Federal University of Sao Paulo, Paulista School of Medicine, Rua Barata Ribeiro 414, cj 3, Sao Paulo, SP-Brazil, 01308-000, Brazil. bruschini@uol.com.br
Truzzi
Jose Carlos
JC
Simonetti
Rogerio
R
Mesquita
Roberto
R
Delcelo
Rosana
R
Szenfeld
Jacob
J
Srougi
Miguel
M
D001707:Biopsy, Needle; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007889:Leiomyoma / Q000150:complications*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D018084:Ultrasonography, Interventional; D014524:Urethral Obstruction / Q000209:etiology*; D016055:Urinary Retention / Q000209:etiology; D014555:Urination Disorders / Q000209:etiology; D014625:Vaginal Neoplasms / Q000150:complications*