Urethral leiomyoma: A rare cause of acute urinary retention

INTRODUCTION AND IMPORTANCE: Leiomyoma is a benign smooth muscle tumor, which is the most common seen in the uterine and is rarely found in the urethra. These are benign mesenchymal tumors that arise from the smooth muscle, which appear during the reproductive age of a female. Diagnosis and management of this case at a rare location were discussed. CASE PRESENTATION: A 24-year-old woman with complaints of urinary retention and a mass protruding out of the urethral external meatus presented to the obstetrics and gynecology clinic. On pelvic examination, a red like mass was seen into urethral external meatus. Under local anesthesia, the patient underwent a basic excision of the urethral mass. Histopathological examination confirms the diagnosis of urethral leiomyoma. CLINICAL DISCUSSION: Urethral masses are uncommon. The benign of which include urethral caruncle, Skene's duct cyst, Gartner's duct cyst, papilloma, hemangioma, and leiomyoma. After examination of the patient initial diagnosis was caruncle but after the pathology results showed leiomyoma. CONCLUSION: Urethral leiomyoma is a rare benign tumor, which does require a histopathological examination for a definitive diagnosis despite being a benign formation. Urethral leiomyoma can be successfully removed with good outcomes.