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Published in: International Urogynecology Journal 5/2022

21-03-2022 | Incision | Images in Urogynecology

Paraurethral mass: A case of urethral leiomyoma surgical approach

Authors: Ashley N. Matthew, Lauren N. Siff

Published in: International Urogynecology Journal | Issue 5/2022

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Excerpt

Periurethral masses including urethral leiomyoma are rare [1, 2] and pose a significant challenge for diagnosis and management. A 43-year-old woman presented with dysuria, urge incontinence and a “bulge” for 3 months. On physical examination, she had a firm left anterior periurethral mass. Pelvic MRI demonstrated a T2 isointense, peripherally enhancing and central hypoenhancing 2.5 cm × 1.9 cm × 2.4 cm mass consistent with adenocarcinoma (Fig. 1). The mass was thought to arise from a urethral diverticulum, primary urethral malignancy or urethral leiomyoma. Cystoscopy revealed no involvement of the urethral lumen. However, physical examination suggested involvement of the urethral wall as gentle external compression of the mass during cystoscopy easily collapsed the urethra and biopsy revealed a benign leiomyoma.
Literature
1.
go back to reference Gok A. Transurethral resection of a large urinary bladder leiomyoma: a rare case report. Urol J. 2017;14(4):4052–4.PubMed Gok A. Transurethral resection of a large urinary bladder leiomyoma: a rare case report. Urol J. 2017;14(4):4052–4.PubMed
2.
go back to reference Tunitsky E, Goldman HB, Ridgeway B. Periurethral mass: a rare and puzzling entity. Obstet Gynecol. 2012;120(6):1459–64.CrossRef Tunitsky E, Goldman HB, Ridgeway B. Periurethral mass: a rare and puzzling entity. Obstet Gynecol. 2012;120(6):1459–64.CrossRef
Metadata
Title
Paraurethral mass: A case of urethral leiomyoma surgical approach
Authors
Ashley N. Matthew
Lauren N. Siff
Publication date
21-03-2022
Publisher
Springer International Publishing
Keyword
Incision
Published in
International Urogynecology Journal / Issue 5/2022
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-022-05146-0

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