Garrido Abad Pablo, Fernández Arjona Manuel, Herranz Fernández Luis Miguel, Muñoz-Delgado Salmerón Jerónimo, Capote Luis Felipe
Departamento de Urología y Departamento de Anatomía Patológica, Hospital Nuestra Señora de América, Madrid, Spain.
Arch Esp Urol. 2010 Jan-Feb;63(1):71-4.
Case report of a 5 cm. male urethral leiomyoma (UL).
UL is extremely rare entity, with only seven cases in the literature. Its etiology is still unknown. Leiomyoma may be present in several locations inside the urinary tract. When located in the urethra it usually produces obstructive symptoms, but also may have asymptomatic behavior. Definitive diagnosis requires histological confirmation. Intraurethral neoplasms must be included in the differential diagnosis.
Patient is free of lower urinary tract symptoms after complete excision of his urethral leiomyoma.
Indication and surgical approach depend on tumor and size location. Prognostic is excellent after surgical removal.
报告一例5厘米男性尿道平滑肌瘤（UL）病例。
尿道平滑肌瘤极为罕见，文献中仅有7例报道。其病因尚不清楚。平滑肌瘤可能出现在泌尿道的多个部位。位于尿道时通常会产生梗阻症状，但也可能无症状。明确诊断需要组织学证实。尿道内肿瘤必须列入鉴别诊断。
患者尿道平滑肌瘤完全切除后无下尿路症状。
手术指征和入路取决于肿瘤的大小和位置。手术切除后预后良好。
