Vulval leiomyoma causing coital difficulty: report of two cases

Olufemi A. Solaja; Olusola B. Fasubaa; Olusegun K. Ajenifuja; Clement A. Adepiti; Nife O. Adedeji; Adeyemi A. Adefidipe; Solomon O. Ayodele; Augustine B. Ndiwe; Oluwasola A. Solaja

doi:10.18203/2320-1770.ijrcog20240809

Authors

Olufemi A. Solaja Department of Obstetrics and Gynaecology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria
Olusola B. Fasubaa Department of Obstetrics and Gynaecology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria
Olusegun K. Ajenifuja Department of Obstetrics and Gynaecology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria
Clement A. Adepiti Department of Obstetrics and Gynaecology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria
Nife O. Adedeji Department of Obstetrics and Gynaecology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria
Adeyemi A. Adefidipe Department of Morbid Anatomy, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria
Solomon O. Ayodele Department of Obstetrics and Gynaecology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria
Augustine B. Ndiwe Department of Obstetrics and Gynaecology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria
Oluwasola A. Solaja Department of Clinical Nursing, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20240809

Keywords:

Vulval leiomyoma, Misdiagnosis, Coital difficulty, Histology, Ultrasound scan

Abstract

Leiomyoma is a smooth muscle benign tumor and it is a common benign lesion of the uterus in women of the reproductive age group with a prevalence of about 30%. Though the prevalence of uterine fibroid was 6.5% in Ile-Ife, and 8.5% of gynecological admissions in Ilesha, Nigeria, vulval leiomyoma is very rare and often misdiagnosed as Bartholin cyst or with other differentials like lipoma, etc. It is usually not considered a differential of vulval masses, but with detailed examination and with the use of investigative tools, the diagnosis can become clearer. This paper presents 2 cases of histologically diagnosed vulval leiomyoma seen at the Obafemi Awolowo University Teaching Hospitals Complex (OAUTHC) between January 2017 and December 2021 with both patients complaining of coital difficulty. During this time, the prevalence of this lesion was calculated to be 0.092% of gynecology admissions and 0.17% of gynecological surgeries done in the hospital.

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