Jornal de Ensaios Clínicos
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Paraurethral Leiomyoma during Pregnancy: A Case Report and Review of Literature

Mahmoud Reda Badr, Ahmed Maher Gamil Ahmed Higazy, Mahmoud Mohammed Roshdy Said Abuelbaga and Diaa ELdin Mahmoud Mos tafa

Leiomyoma is a benign tumor of smooth muscle cells that may arise from the genitourinary or gastrointestinal systems. It is not common to arise from the urethra or Para urethral areas with few reported cases. It is important to differentiate urethral leiomyoma that presents mainly with obstructive urinary symptoms and require surgical endoscopic resection from the para-urethral one that presents mainly as asymptomatic freely mobile lump and not communicating with the urethra with a clear line of cleavage in between. Review of literature showed that leiomyoma is hormone sensitive and progressively increase in size during pregnancy and may cause obstructed labor or obstructive urinary symptoms according to its site. We present a case of para-urethral leiomyoma during pregnancy presented with painless lump that progressively increased in size causing obstructive urinary symptoms. Examination under anesthesia was done and diagnostic cystoscopy-urethroscopy prior to surgical excision to ensure site of origin with no urethral communication. Histopathological evaluation confirmed the diagnosis of leiomyoma. No postoperative complications were noted with improvement of the urinary symptoms.