Abstract
Vaginal leiomyoma is a rare tumor with a variable clinical presentation and broad differential diagnosis that can lead to preoperative misdiagnosis. We present a case of vaginal leiomyoma with a symptom complex of prolapse, urinary urgency and urge incontinence. A 50-year-old woman presented with a 4-year history of deteriorating sensation of prolapse, significant complex urinary complaints and prolonged vaginal bleeding. Clinical examination revealed a mobile 6 x 8 cm mass arising from the anterior vaginal wall. She underwent hysteroscopy, curettage, urethrocystoscopy (normal findings) and mass enucleation through a vertical incision. Histology showed a benign leiomyoma. Ultrasonography, MRI, positive-pressure urethrography and urethrocystoscopy should be considered in the evaluation of an anterior wall vaginal mass. Surgical enucleation via a vaginal approach is the treatment of choice. If this surgical procedure results in skeletonization of the urethral and bladder support, a colporrhaphy/pubourethral ligament plication is required.
Original language | English |
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Pages (from-to) | 196-198 |
Number of pages | 3 |
Journal | International Urogynecology Journal |
Volume | 11 |
Issue number | 3 |
DOIs | |
State | Published - 1 Jan 2000 |
Externally published | Yes |
Keywords
- Leiomyoma
- Prolapse
- Urge incontinence
- Vagina
ASJC Scopus subject areas
- Obstetrics and Gynecology
- Urology