Paraurethral leomyoma: a manageable challenge

Ritu Khatuja, Menka Verma, Nivedita Sarda, Dolly Chawla, Renu Gupta, Pratima Khare


Leiomyoma is a most common benign tumour of uterus. But it is very rare in vagina urethral and paraurethral. There are approximately 330 case reports are available in literature and the paraurethral site is extremely uncommon. Here, we report a case of 38-year nulliparous woman presented with complain of mass coming out of vagina as well as dyspareunia. Provisional diagnosis of anterior vaginal cyst along with the differential diagnosis of paraurethral and anterior wall vaginal leiomyoma was made. Transvaginal removal of mass was done and diagnosis of paraurethral leiomyoma was confirmed by histopathology.


Benign, Leiomyoma, Paraurethral

Full Text:



Chakrabarti I, De A, Pati S. Vaginal leiomyoma. J Midlife Health. 2011;2(1):42-3.

Young SB, Rose PG, Reuter KL. Vaginal fibromyomata: two cases with preoperative assessment, resection and reconstruction. Obstet Gynecol. 1991;78:972-4.

Bennett HG, Ehrlich MM. Myoma and vagina. Amm J Obstet Gynecol. 1941;42:314-20.

Nel CP, Tiltman AJ. Liomyoma of vagina. S Afr Med J. 1978;54:816-7.

Patou T, Lalana S, Voranuch T, Nakarin S. Paraurethral leiomyoma: a case report. J Med Assoc Thai. 2006;89(4):545-9.

Jeffrey H. Martin, Edward R. Gerrard, Paraurethral Leiomyoma: Does Making the Distinction Make a Difference?. Infect Urol. 2001;14(2).

Sherer DM, Cheung W, Gorelick C. Sonographic and magnetic resonance imaging findings of an isolated vaginal leiomyoma. J Ultrasound Med. 2007;26(10):1453-6.

Gowri R, Soundavaraghvan S, Oumachigvi A, Sistin SC, Iyenger KR. Leiomyoma of the vagina: An unusual presentation. J ObstGyn Res. 2003;29:395-8.

Nidhanee SV, Maiti S, Shareef D, Holland N. An unusual presentation of a vaginal leiomyoma in a postmenopausal hysterectomised woman: a case report. Cases J. 2009;2:6461.

Costantini E, Cochetti G, Porena M. Vaginal para-urethral myxoid leiomyoma: case report and review of the literature. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19(8):1183-5.