Vaginal Fibroma Presenting as a Paraurethral Mass Mimicking Cystocele: A case report

  • Sonu Bharati Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Kathmandu, Nepal
  • Ganesh Danagl Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Kathmandu, Nepal https://orcid.org/0000-0002-5834-5525
  • Ranjana Shrestha Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Kathmandu, Nepal
  • Aruna Karki Head of department, Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Kathmandu, Nepal
  • Hema Kumari Pradhan Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Kathmandu, Nepal
  • Kabin Bhattachan Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Kathmandu, Nepal
  • Ashok Kunwar Department of General Surgery and Urology, Kathmandu Model Hospital, Kathmandu, Nepal
  • Nishma Bajracharya Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Kathmandu, Nepal
  • Kenusha Devi Tiwari Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Kathmandu, Nepal
  • Sunita Maharjan Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Kathmandu, Nepal https://orcid.org/0000-0003-0095-0092
Keywords: Cystocele, Isolated Vaginal FIbroma, Paraurethral, Myomectomy

Abstract

Benign female paraurethral lesion encompasses a spectrum of entities that have significance in clinical urology. Fibromas are usually present in the uterus originating from the smooth muscles,however,vaginal fibroma is the extra uterine manifestation of leiomyoma. Here, we present a case of 45 years oldperimenopausalfemale, Para 6, living issues 6 who presented at our out-patientsdepartmentwith the complaint of mass growing in the vagina for 5 years but has increased in size for last 2 years. It has been associated with urinary symptoms, bleeding from mass and dyspareunia. General physical examinations were normal but on local examination mass arising from anterior vaginal wall mimicking cystocele  with normal appearing external urethral meatus . However, her basic investigations including cystoscopy were normal. The tumor was surgically removed via myomectomy and its histopathology showed benign fibroma.

 

 

 

Author Biographies

Ganesh Danagl, Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Kathmandu, Nepal

Professor of Obstetrics and Gynecology at Kathmandu Model Hospital

Senior Consultant

Editor-in Chief (2014-2015): NJOG

Ranjana Shrestha, Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Kathmandu, Nepal

Consultant at Kathmandu Model Hospital

Aruna Karki, Head of department, Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Kathmandu, Nepal

Senior consultant and HOD at Kathmadu Model Hospital

Hema Kumari Pradhan, Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Kathmandu, Nepal

Senior consultant in department of obstetrics and Gynecology at Kathmandu Model Hospital 

Ashok Kunwar, Department of General Surgery and Urology, Kathmandu Model Hospital, Kathmandu, Nepal

Conusltant in department of general surgery and urology at Kathmandu Model Hospital

Nishma Bajracharya, Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Kathmandu, Nepal

4th year FCPS resident at Kathmandu Model Hospital

Kenusha Devi Tiwari, Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Kathmandu, Nepal

3rd Year FCPS resident in OBGYN department at Kathmandu Model Hospital.

Sunita Maharjan, Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Kathmandu, Nepal

1st year FCPS resident at OBGYN at Kathmandu Model Hospital.

References

1. Braga A, Soave I, Caccia G, Requsci L, Ruggai G, Pitaku I, etal.What is this vaginal bulge? An atypical case of vaginal paraurethral leiomyoma: A case report and literature systematic review. J Gynecol Obstet Hum Reprod 2020; 101822

2. Alan M, Gökçü M, Ünlüoğlu S,Sanc M. Urethral Leiomyoma: A Case Report. “Bull of Urooncol”.2018;17:153-5.

3. Fridman D, Abeshouse M, Sankin A. Paraurethral Leiomyoma as an Incidental Finding in Patient with Fibroid Uterus. Case Rep Obstet Gynecol.2018;2018:7042960.

4. Reda Badr M, Higazy AM, Abuelbaga MM, Mostafa DE. Paraurethral Leiomyoma During Pregnancy: A Case Report and Review of the Literature. Journal of Gynecologic Surgery. 2020 Jan 22.


5. Leung YL, Lee F, Tam PC. Leiomioma of the female urethra causing acute urinary retention and acute renal failure. J Urol. 1997;158:911-2.

6. Ozel B, Ballard C. Urethral and paraurethral leiomyomas in the female patient. Int Urogynecol J Pelvic Floor Dysfunct.2006;17:93-5.

7. Vilar G, Martin JP, Aguado M. Leiomyoma of the female urethra: a case report and review of the literature. ActasUrol ESP.2010;34:396-7.
Published
2020-09-11
How to Cite
1.
Bharati S, Ganesh Danagl, Shrestha R, Karki A, Pradhan HK, Bhattachan K, Kunwar A, Bajracharya N, Tiwari KD, Maharjan S. Vaginal Fibroma Presenting as a Paraurethral Mass Mimicking Cystocele: A case report. Europasian J Med Sci. [Internet]. 2020Sep.11 [cited 2024May16];2(2):97-9. Available from: https://www.europasianjournals.org/ejms/index.php/ejms/article/view/181

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