Leiomyoma of female urethra.

A 28-year-old female presented with painful swelling of vulva and dysuria of 2 weeks duration. She had frequent painful micturition but no retention of urine. She had normal menstrual cycles. On examination (exam), a firm tender swelling of 2 9 1.5 cm size was found protruding from external urethral meatus, obliterating lumen (Fig. 1). Anterior vaginal wall was normal and no purulent discharge on pressure. Rest of the examination was normal. A clinical diagnosis of soft tissue tumor of urethra was made. Hematological, biochemical investigations, and ultrasonography of abdomen were normal. She was operated under spinal anesthesia. Cystoscopy revealed normal urinary bladder and swelling arising from dorsal aspect of midurethra (Fig. 2). A 16 FG Foley catheter was inserted. Urethral mucosa was elevated and swelling was removed after ligating the pedicle. Excess mucosa was trimmed and meatus was reconstructed dorsally (Fig. 3). Vagina was packed and was removed after 48 h. Postoperative recovery was uneventful. Foley catheter was removed after 2 weeks. She was voiding normally with minimal stress incontinence (one pad per day). She was advised pelvic floor exercise and asked to follow up after 3 months. Histopathology report was leiomyoma of urethra. The case is reported for its rarity.