Smith H W, Campbell E W
J Urol. 1976 Oct;116(4):451-3. doi: 10.1016/s0022-5347(17)58855-2.
Benign periurethral masses were encountered in 4 women. The masses included 2 vaginal leiomyomas, 1 of which was found simultaneously with a urethral diverticulum, a fibrocystic urethral mass and hyperplastic glandular tissue obstructing the bladder outlet and resembling male prostate. The physical and endoscopic features were helpful in establishing the benign nature and extent of the lesions. Although the bladder base was deformed on an excretory urographic cystogram in each case the radiographic features were non-specific except as they applied to a urethral diverticulum. Transvaginal needle biopsy is recommended in contemplation of open surgical excision. Leiomyomas are best approached transvaginally and anterior urethral masses can be reached suprapubically.
4名女性患者出现了良性尿道周围肿物。这些肿物包括2例阴道平滑肌瘤，其中1例与尿道憩室同时发现，1例纤维囊性尿道肿物以及增生的腺性组织阻塞膀胱出口且类似男性前列腺。体格检查和内镜检查特征有助于确定病变的良性性质及范围。尽管在排泄性膀胱尿道造影中，每例患者的膀胱底部均有变形，但除了适用于尿道憩室的情况外，影像学特征并无特异性。考虑行开放性手术切除时，建议行经阴道针吸活检。平滑肌瘤最好经阴道处理，前尿道肿物可经耻骨上途径处理。
