Female paraurethral leiomyoma in non-sexually active woman: A case report

Leiomyomas are benign fibromuscular tumors that arise from smooth muscle cells. Paraurethral leiomyoma accounts for 5% of all paraurethral masses and occurs in 1 in 1000 women. We reported a case of a 43-year-old female presented with a palpable mass at the vaginal introitus with lower urinary tract symptoms. Patient had no pregnancy and sexual history before. A pelvic MRI demonstrated a 1.6 x 1.7 × 2.0 cm mass within the anterior part of the paraurethra. The excision of the mass was done via transvaginal approach and was successful. The final post-operative pathology report was confirmed as leiomyoma. •Paraurethral leiomyoma accounts for is extremely rare and more common in women.•Radiological imaging modalities such as USG and MRI are extremely useful for the diagnosis.•Surgical removal via vaginal route is the main treatment.•Follow up should be done to prevent recurrence.