{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:16:48Z","timestamp":1756383408763,"version":"3.44.0"},"reference-count":25,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,5,9]]},"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:p>Urethral leiomyomas are rare, benign tumours arising from smooth muscle tissue, typically affecting women of reproductive age and thought to be oestrogen-dependent. We present a case of a young nulliparous woman who reported severe dysuria and lower urinary tract symptoms. On examination, a polypoidal mass was observed at the urethral meatus. Surgical excision of the mass was performed, and histopathology confirmed the diagnosis of urethral leiomyoma. The patient had an uneventful recovery, with complete resolution of symptoms and no recurrence at 1\u2009year follow-up. Although uncommon, urethral leiomyomas should be considered in the differential diagnosis of urethral masses and managed surgically for optimal outcomes.<\/jats:p>","DOI":"10.1136\/bcr-2024-264079","type":"journal-article","created":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T03:45:34Z","timestamp":1747971934000},"page":"e264079","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Urethral fibroid: clinical insights and analysis"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-2074-582X","authenticated-orcid":false,"given":"Anum","family":"Malik","sequence":"first","affiliation":[{"name":"OBGYN, The Aga Khan University Hospital Main Campus Karachi, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Novera","family":"Chughtai","sequence":"additional","affiliation":[{"name":"OBGYN, The Aga Khan University Hospital Main Campus Karachi, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Urooj","family":"Kashif","sequence":"additional","affiliation":[{"name":"The Aga Khan University Hospital Main Campus Karachi, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7129-5665","authenticated-orcid":false,"given":"Imran Khan","family":"Jalbani","sequence":"additional","affiliation":[{"name":"Surgery, The Aga Khan University Hospital Main Campus Karachi, Karachi, Sindh, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,5,22]]},"reference":[{"key":"2025082804393446000_18.5.e264079.1","doi-asserted-by":"crossref","first-page":"1821","DOI":"10.1007\/s00192-015-2776-8","article-title":"Female paraurethral leiomyoma: treatment and long-term follow-up","volume":"26","author":"Migliari","year":"2015","journal-title":"Int Urogynecol J"},{"key":"2025082804393446000_18.5.e264079.2","doi-asserted-by":"crossref","first-page":"1174","DOI":"10.1111\/jog.13641","article-title":"Female paraurethral leiomyoma successfully excised through a vaginal approach: A case report","volume":"44","author":"Harada","year":"2018","journal-title":"J Obstet Gynaecol Res"},{"key":"2025082804393446000_18.5.e264079.3","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1016\/j.diii.2016.03.016","article-title":"Imaging findings of paraurethral leiomyoma","volume":"98","author":"Altay","year":"2017","journal-title":"Diagn Interv Imaging"},{"key":"2025082804393446000_18.5.e264079.4","doi-asserted-by":"crossref","first-page":"00218","DOI":"10.15406\/ogij.2017.06.00218","article-title":"A True Paraurethral Leiomyoma, A Case Report and Review of Literature","volume":"6","author":"Rezai","year":"2017","journal-title":"OGIJ"},{"key":"2025082804393446000_18.5.e264079.5","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000124848.63750.e6"},{"key":"2025082804393446000_18.5.e264079.6","first-page":"1196","article-title":"Leiomyoma of the female urethra","volume":"14","author":"Rivi\u00e8re","year":"2004","journal-title":"Prog Urol"},{"key":"2025082804393446000_18.5.e264079.7","doi-asserted-by":"crossref","first-page":"79","DOI":"10.5301\/uro.5000223","article-title":"A very large leiomyoma of the urethra: A case report","volume":"85","author":"Fedelini","year":"2018","journal-title":"Urologia"},{"key":"2025082804393446000_18.5.e264079.8","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000037893","article-title":"A urethral leiomyoma presenting with dysuria: A rare case report","volume":"103","author":"Wu","year":"2024","journal-title":"Medicine (Baltimore)"},{"key":"2025082804393446000_18.5.e264079.9","article-title":"Paraurethral leiomyoma in a postmenopausal woman: first European case","volume":"2015","author":"Shim","year":"2015","journal-title":"Case Rep Obstet Gynecol"},{"key":"2025082804393446000_18.5.e264079.10","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1007\/s00192-005-1316-3","article-title":"Urethral and paraurethral leiomyomas in the female patient","volume":"17","author":"\u00d6zel","year":"2006","journal-title":"Int Urogynecol J"},{"key":"2025082804393446000_18.5.e264079.11","doi-asserted-by":"crossref","first-page":"101822","DOI":"10.1016\/j.jogoh.2020.101822","article-title":"What is this vaginal bulge? 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