title: A very large leiomyoma of the urethra: A case report.
abstract: BACKGROUND
  Leiomyomas are benign mesenchymal tumours of smooth muscle origin. They are the most common uterine masses in women of reproductive age group and may be related to the hormonal status. Urethral leiomyomas are very rare. According to the literature, the mean diameter of the urethral leiomyomas is 3.7 cm.
  
  
  METHODS
  We report a case of a very large leiomyoma of the urethra. A 40-year-old women woman was admitted to our department for a giant vaginal mass. She complained of haematuria, dysuria, recurrent urinary tract infections and dyspareunia. The physical evaluation demonstrated a 6 × 5.5 cm neoformation involving the distal tract of the urethra. The patient underwent an ultrasonography and then a magnetic resonance that suggested the diagnosis of leiomyoma. The neoformation was excised through a suburethral incision.
  
  
  CONCLUSIONS
  The patient was discharged after 3 days and no intraoperative and postoperative complications occurred. The Foley catheter was removed after a week. The patient was continent to urine, and at 6 months follow-up, the patient was symptom free and no recurrences occurred.
authors.affiliation: Urology Unit, AORN A. Cardarelli, Naples - Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Fedelini
authors.affiliation: Urology Unit, AORN A. Cardarelli, Naples - Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Chiancone
authors.affiliation: Urology Unit, AORN A. Cardarelli, Naples - Italy.
authors.forename: Maurizio
authors.initials: M
authors.lastname: Fedelini
authors.affiliation: Urology Unit, AORN A. Cardarelli, Naples - Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Fabiano
authors.affiliation: Urology Unit, AORN A. Cardarelli, Naples - Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Persico
authors.affiliation: Urology Unit, AORN A. Cardarelli, Naples - Italy.
authors.forename: Domenico
authors.initials: D
authors.lastname: Di Lorenzo
authors.affiliation: Urology Unit, AORN A. Cardarelli, Naples - Italy.
authors.forename: Clemente
authors.initials: C
authors.lastname: Meccariello
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000473:pathology* / Q000601:surgery; D047368:Tumor Burden; D014523:Urethral Neoplasms / Q000473:pathology* / Q000601:surgery
keywords: Benign urethral mass; Dysuria; Leiomyoma