Urethral leiomyoma: a rare case of voiding difficulty

Description

A woman aged 28 years presented with a history of voiding difficulty with straining on micturition for 2 months. She was completely asymptomatic and had no symptoms of voiding difficulty prior to this. On physical examination, she was found to have a firm tender mass measuring 2.5x2 cm, involving the posterior periurethral region. The urethral orifice could not be separately identified. Uroflowmetry was performed and was within the normal limit. Transperineal ultrasound revealed a well-defined homogeneously hypoechoic solid lesion anterior to the vagina. The posterior urethral wall could not be separately delineated from the lesion. On colour Doppler interrogation, the lesion showed significant internal vascularity (figure 1). There was no significant postvoid residue. MRI was performed for further characterisation of the lesion and its relation to adjacent structures. Axial, coronal and sagittal T2-weighted, short tau inversion recovery (STIR) and precontrast and postcontrast T1-weighted images were acquired. A well-defined...

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