Paraurethral Leiomyoma as a Rare Cause of Lower Urinary Tract Symptoms in a Female of Reproductive Age

Leiomyomas are generally benign lesions originating from smooth muscle cells. However, paraurethral leiomyomas are a rare occurrence, with only a few cases being reported in the literature till date. In view of the scarce existing literature regarding paraurethral leiomyoma, their diagnosis and management pose a peculiar challenge. Case Report: A case of a 43-year-old female, who presented with obstructive voiding symptoms of moderate severity for 4 months, is described. A mass of size 2.5 x 2 cm was palpable along the anterior wall of the vagina and the posterior wall of the urethra. The patient underwent surgical excision of the mass by the transvaginal route. This was confirmed to be leiomyoma on histopathology. Conclusion: Paraurethral leiomyoma is an infrequent tumour arising from the periurethral smooth muscle and is an important differential diagnosis for paraurethral masses in females of reproductive age. In view of the limited experience with this entity, every case provides a significant insight for its diagnosis and management.