Journal of Postgraduate Medicine
 Open access journal indexed with Index Medicus & ISI's SCI  
Users online: 89  
Home | Subscribe | Feedback | Login 
About Latest Articles Back-Issues Article Submission Resources Sections Etcetera Contact
 
  NAVIGATE Here 
  Search
 
 :: Next article
 :: Previous article 
 :: Table of Contents
  
 RESOURCE Links
 ::  Similar in PUBMED
 ::  Search Pubmed for
 ::  Search in Google Scholar for
 ::Related articles
 ::  Article in PDF (9 KB)
 ::  Citation Manager
 ::  Access Statistics
 ::  Reader Comments
 ::  Email Alert *
 ::  Add to My List *
* Registration required (free) 

  IN THIS Article
 ::  Introduction
 ::  Case report
 ::  Discussion
 ::  References
 ::  Article Figures

 Article Access Statistics
    Viewed5115    
    Printed76    
    Emailed4    
    PDF Downloaded97    
    Comments [Add]    
    Cited by others 2    

Recommend this journal


 


 
CASE REPORTS
Year : 1992  |  Volume : 38  |  Issue : 2  |  Page : 79-80

Leiomyoma of the female urethra.


Dept of Surgery, JJ Hospital, Byculla, Bombay, Maharashtra.,

Correspondence Address:
D S Bhandarkar
Dept of Surgery, JJ Hospital, Byculla, Bombay, Maharashtra.

Login to access the Email id


PMID: 0001432835

Get Permissions



Keywords: Adult, Case Report, Cystoscopy, Female, Human, Leiomyoma, diagnosis,pathology,surgery,Urethral Neoplasms, diagnosis,pathology,surgery,


How to cite this article:
Bhandarkar D S, Tamhane R G, Shenoy B P, Shirodkar G A. Leiomyoma of the female urethra. J Postgrad Med 1992;38:79-80

How to cite this URL:
Bhandarkar D S, Tamhane R G, Shenoy B P, Shirodkar G A. Leiomyoma of the female urethra. J Postgrad Med [serial online] 1992 [cited 2014 Jul 29];38:79-80. Available from: http://www.jpgmonline.com/text.asp?1992/38/2/79/712





  ::   Introduction Top


Benign neoplasms of the urethra may arise from any of its histological elements, that is, transitional epithelium, stratified squamous epithelium, glandular epithelium and smooth and striated muscle. Polyps, papillomas, haemangiomas, fibromas, leiomyomas, fibromyomas, neurinomas, neurofibromas, adenomas and cysts have all been reported; polyps and papillomas being the most common and the leiomyomas being among the least common[1]. We present below one such case of leiomyoma of the female urethra.


  ::   Case report Top


A 32-year-old woman presented with dysuria for three months. She denied any urinary symptoms in the past, not even during her pregnancy, three years earlier. Examination showed a nodular, 3cm x 2cm, freely movable mass anterior to the urethral orifice. Hemogram, serum biochemistry and urinalysis were normal. Cystourethroscopy revealed a mass bulging into the anterior wall of the urethra, and congestion of the overlying urethral mucosa. The mass [Figure - 1] was excised under general anaesthesia. Histopathologlical examination of sections stained with H & E [Figure:2A] and with immunoperoxidase staining [Figure:2B] using specific, monocionai, anti-smooth muscle antibody (Desmin) showed the mass to be a leiomyoma.


  ::   Discussion Top


Leiomyoma of the female urethra is rare and only 28 cases were reported in the world literature till 1988[2]. The symptoms of the tumour comprise dysuria, hematuria and a mass. Obstructive symptoms are rare due to the paraurethral rather than periurethral position of this neoplasm. The tumour has been reported to enlarge during pregnancy and shrink after delivery, suggesting a possible hormonal dependence[1],[2]. The differential diagnosis is from a urethrocele, a urethral diverticulum and urethral malignancy. A leiomyoma can be distinguished from the first two of these three by careful clinical examination, cysto ureth ros copy and radiology of the lower urinary tract. However, only histopathological examination can distinguish it from malignancy. Immunoperoxidase staining employinq aspecific, monoclonal, anti-smooth muscle antibody confirms the smooth muscle origin of this neoplasm. This staining technique was utilised in the present case. Simple surgical excision is the recommended treatment. The prognosis is excellent as malignant transformation has not been reported and recurrence is rare [3].

 
 :: References Top

1. Shield DE, Weiss RM. Leiomyoma of the female urethra. J Urol 1973; 109:430-431.  Back to cited text no. 1    
2.Fry M, Wheeler JS, Mata JA, Jr. Culkin DJ, St. Martin E, Veneble DD. Leiomyoma of the female urethra. J Urol 1988; 140:613-614.  Back to cited text no. 2    
3.Merrell RW, Brown HE. Recurrent urethral leiomyoma presenting as stress incontinence. Urology 1981; 17:588-589.   Back to cited text no. 3    


    Figures

[Figure - 1], [Figure - 2], [Figure - 3]

This article has been cited by
1 Urethral and paraurethral leiomyomas in the female patient
Ozel B, Ballard C
INTERNATIONAL UROGYNECOLOGY JOURNAL. 2006; 17 (1): 93-95
[Pubmed]
2 Protruding urethral leiomyoma obscuring vaginal introitus: Case report
Uzunlar AK, Ozdemir E, Yilmaz F, et al.
EAST AFRICAN MEDICAL JOURNAL. 1999; 76 (11): 654-655
[Pubmed]



 

Top
Print this article  Email this article
Previous article Next article
Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Medknow