Transvaginal partial excision of a circumferential urethral leiomyoma: Surgical technique and outcome
We present a rare case of a 68-year-old female with urinary retention and a peri-urethral mass. The patient, with a history of thoracic aortic aneurysm, was referred to urology after a urethral mass was incidentally detected on CT imaging during aneurysm surveillance. Pelvic MRI identified a 4.8 cm...
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| Language: | English |
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Elsevier
2025-07-01
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| Series: | Urology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214442025001202 |
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| author | Leanne Brechtel Joanna Orzel Yiqin Xiong Annah Vollstedt |
| author_facet | Leanne Brechtel Joanna Orzel Yiqin Xiong Annah Vollstedt |
| author_sort | Leanne Brechtel |
| collection | DOAJ |
| description | We present a rare case of a 68-year-old female with urinary retention and a peri-urethral mass. The patient, with a history of thoracic aortic aneurysm, was referred to urology after a urethral mass was incidentally detected on CT imaging during aneurysm surveillance. Pelvic MRI identified a 4.8 cm circumferential, enhancing mass along the proximal urethra. A transvaginal ultrasound-guided biopsy confirmed a low-grade smooth muscle neoplasm, consistent with leiomyoma. The mass was successfully excised via a transvaginal approach. This case highlights the importance of a broad differential in female urinary retention and demonstrates the feasibility of vaginal excision for peri-urethral masses. |
| format | Article |
| id | doaj-art-8f8d8a5ed1384061a6638fc5ea7df6ec |
| institution | Kabale University |
| issn | 2214-4420 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Urology Case Reports |
| spelling | doaj-art-8f8d8a5ed1384061a6638fc5ea7df6ec2025-08-20T03:56:42ZengElsevierUrology Case Reports2214-44202025-07-016110304910.1016/j.eucr.2025.103049Transvaginal partial excision of a circumferential urethral leiomyoma: Surgical technique and outcomeLeanne Brechtel0Joanna Orzel1Yiqin Xiong2Annah Vollstedt3University of Iowa Health Care, Department of Urology, 200 Hawkins Drive, Iowa City, IA, 52242, United States; Corresponding author.University of Iowa Health Care, Department of Urology, 200 Hawkins Drive, Iowa City, IA, 52242, United StatesUniversity of Iowa Healthcare, Department of Pathology, United StatesUniversity of Iowa Health Care, Department of Urology, 200 Hawkins Drive, Iowa City, IA, 52242, United StatesWe present a rare case of a 68-year-old female with urinary retention and a peri-urethral mass. The patient, with a history of thoracic aortic aneurysm, was referred to urology after a urethral mass was incidentally detected on CT imaging during aneurysm surveillance. Pelvic MRI identified a 4.8 cm circumferential, enhancing mass along the proximal urethra. A transvaginal ultrasound-guided biopsy confirmed a low-grade smooth muscle neoplasm, consistent with leiomyoma. The mass was successfully excised via a transvaginal approach. This case highlights the importance of a broad differential in female urinary retention and demonstrates the feasibility of vaginal excision for peri-urethral masses.http://www.sciencedirect.com/science/article/pii/S2214442025001202Voiding dysfunctionUrinary retentionUrethral mass |
| spellingShingle | Leanne Brechtel Joanna Orzel Yiqin Xiong Annah Vollstedt Transvaginal partial excision of a circumferential urethral leiomyoma: Surgical technique and outcome Urology Case Reports Voiding dysfunction Urinary retention Urethral mass |
| title | Transvaginal partial excision of a circumferential urethral leiomyoma: Surgical technique and outcome |
| title_full | Transvaginal partial excision of a circumferential urethral leiomyoma: Surgical technique and outcome |
| title_fullStr | Transvaginal partial excision of a circumferential urethral leiomyoma: Surgical technique and outcome |
| title_full_unstemmed | Transvaginal partial excision of a circumferential urethral leiomyoma: Surgical technique and outcome |
| title_short | Transvaginal partial excision of a circumferential urethral leiomyoma: Surgical technique and outcome |
| title_sort | transvaginal partial excision of a circumferential urethral leiomyoma surgical technique and outcome |
| topic | Voiding dysfunction Urinary retention Urethral mass |
| url | http://www.sciencedirect.com/science/article/pii/S2214442025001202 |
| work_keys_str_mv | AT leannebrechtel transvaginalpartialexcisionofacircumferentialurethralleiomyomasurgicaltechniqueandoutcome AT joannaorzel transvaginalpartialexcisionofacircumferentialurethralleiomyomasurgicaltechniqueandoutcome AT yiqinxiong transvaginalpartialexcisionofacircumferentialurethralleiomyomasurgicaltechniqueandoutcome AT annahvollstedt transvaginalpartialexcisionofacircumferentialurethralleiomyomasurgicaltechniqueandoutcome |