title: Vaginal Approach to Excise a Rare Paraurethral Leiomyoma.
abstract: Leiomyomas are benign tumors of smooth muscle origin occurring throughout the genitourinary system. While leiomyomas in the uterus are frequently seen, urethral and paraurethral leiomyomas are extremely rare with a hand full of cases in the literature. Typically, periurethral leiomyomas can present with a mass protruding from the urethra originating from the proximal and posterior portion of the urethra. Herein, we present a new case of a paraurethral leiomyoma causing mass effect on the bladder leading to lower urinary tract symptoms (LUTS) with no gross involvement of the urethra.
authors.affiliation: Division of Urology, University of Cincinnati, Cincinnati, OH 45267, USA.
authors.forename: Jagan K
authors.initials: JK
authors.lastname: Kansal
authors.affiliation: Division of Urology, University of Cincinnati, Cincinnati, OH 45267, USA.
authors.forename: Mahmoud
authors.initials: M
authors.lastname: Mohamed
authors.affiliation: Division of Urology, University of Cincinnati, Cincinnati, OH 45267, USA.
authors.forename: Ayman
authors.initials: A
authors.lastname: Mahdy
keywords: Paraurethral leiomyoma; Vaginal approach