Urethral leiomyoma: combined vaginal and abdominal approach – a case report

Author:

Souza Francilberto Dyego de1ORCID,Leite Fernanda dos Passos e Silva1ORCID,Liberato Ana Ricarlanda Cajaseiras1ORCID,Haruta Carolina Mayumi1ORCID,Rangel Artur Eduardo de Oliveira1ORCID

Affiliation:

1. Instituto de Medicina Integral Prof. Fernando Figueira, Brazil

Abstract

Abstract Introduction: leiomyomas are benign mesenchymal tumors of smooth muscle origin that can develop in various locations. Urethral leiomyomas are rare, with approximately only 120 cases reported in the literature. These tumors often occur in the third and fourth decades of life but are rare in menopausal patients. In general, treatment involves surgery, only three recurrence reports in the literature. Description: a case report on a 56-year-old woman; the patient had type II diabetes mellitus and chronic high blood pressure, was overweight (body mass index, 27.1 kg/m2), and a smoker. Besides this, the patient presented symptoms of urinary obstruction and had a large urethral leiomyoma. The tumor was completely removed with no associated urethral lesions using a complex, combined abdominalvaginal surgical approach. Discussion: the management and treatment on urethral leiomyomas is challenging and have not been established yet due to the rarity of these tumors.

Publisher

FapUNIFESP (SciELO)

Subject

Public Health, Environmental and Occupational Health,Obstetrics and Gynecology,Pediatrics, Perinatology and Child Health

Reference12 articles.

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