# Paraurethral Leiomyoma: A Rare Entity Requiring Extensive Preoperative Counseling and Prompt Management

## TL;DR

This case report describes a rare benign tumor near the female urethra and highlights the need for careful diagnosis and treatment planning.

## Contribution

The paper presents a detailed case of paraurethral leiomyoma emphasizing diagnostic and management strategies.

## Key findings

- Paraurethral leiomyoma can be successfully excised via a perineal route without urethral injury.
- Advanced imaging and multidisciplinary collaboration are crucial for accurate diagnosis and management.
- Thorough preoperative counseling is essential due to the tumor's nonspecific symptoms and rare occurrence.

## Abstract

Paraurethral leiomyoma is an exceptionally rare benign smooth muscle tumor adjacent to the female urethra, presenting diagnostic challenges due to nonspecific symptoms like urinary obstruction and dysuria. This case report details the clinical presentation, diagnostic workup, and surgical management of a 45-year-old woman with a paraurethral leiomyoma. Diagnosis involved clinical examination, imaging, and biopsy. The mass was excised via a perineal route without urethral injury, confirmed by histopathology. The patient recovered well, voiding without difficulty postoperatively. This case emphasizes the importance of thorough preoperative counseling, advanced imaging, and multidisciplinary collaboration in managing paraurethral leiomyomas.