Literature registers 18 cases of female urethral leiomyoma. Three new cases of such pathology are herein described, with symptoms generally recorded in the literature : obstruction. The three patients were successfully treated by transvaginal resection of the tumor. Diagnosis and treatment are simple, while follow up and prognosis are good, according to our cases and those previously described.

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Article Synopsis
  • Leiomyomas are rare, benign tumors of the bladder that account for 1 to 5% of all bladder tumors; while 20% are asymptomatic, many cause issues like urinary dysfunction and hematuria.
  • * The case study discusses a 39-year-old woman with severe urinary symptoms and a tumor in her bladder, which was identified through imaging and cystoscopy.
  • * Treatment involved a dual approach of Transurethral Resection of Bladder Tumor (TURBT) and open urethrotomy to fully excise the tumor, which was causing persistent symptoms.
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Paraurethral leiomyoma is an exceptionally rare benign smooth muscle tumor adjacent to the female urethra, presenting diagnostic challenges due to nonspecific symptoms like urinary obstruction and dysuria. This case report details the clinical presentation, diagnostic workup, and surgical management of a 45-year-old woman with a paraurethral leiomyoma. Diagnosis involved clinical examination, imaging, and biopsy.

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