Vaginal para-urethral myxoid leiomyoma: case report and review of the literature

Int Urogynecol J Pelvic Floor Dysfunct. 2008 Aug;19(8):1183-5. doi: 10.1007/s00192-008-0588-9. Epub 2008 Mar 20.


Vaginal leiomyoma is a rare solid tumour of unknown aetiology, which usually develops in women between the ages of 35 and 50. As it presents with a wide range of symptoms, diagnosis is based on histological findings. Here we present the case of a 27-year-old white woman with a painless vaginal mass associated with dyspareunia, dysmenorrhea and foul-smelling vaginal discharge. She underwent surgery by vaginal route, and the histological findings confirmed a myxoid leiomyoma. After 17 months, the patient was disease-free, and symptoms disappeared. Vaginal leiomyomas are rare, local recurrence and transformation into sarcoma are rare, and complete surgical excision as soon as possible is recommended.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Female
  • Gynecologic Surgical Procedures
  • Humans
  • Leiomyoma / diagnosis
  • Leiomyoma / pathology
  • Leiomyoma / surgery*
  • Urethra / pathology
  • Vaginal Neoplasms / diagnosis
  • Vaginal Neoplasms / pathology
  • Vaginal Neoplasms / surgery*