Costa Clarissa, Barba Marta, Cola Alice, Frigerio Matteo
Obstetrics and Gynecology Department, University of Milano-Bicocca, Monza, Italy.
Obstetrics and Gynecology Department, University of Milano-Bicocca, Monza, Italy.
Eur J Obstet Gynecol Reprod Biol. 2023 Nov;290:11-13. doi: 10.1016/j.ejogrb.2023.09.008. Epub 2023 Sep 11.
Vaginal leiomyomas are uncommon benign tumors of the genital district that appear as a circumscribed, mobile, and nontender mass along the vaginal tube. The gold standard of vaginal leiomyoma management is surgical treatment. We aimed to present a clinical case of vaginal leiomyoma successfully treated throughout a transvaginal excision and layered repair.
A 44-year-old woman was referred to our division for vaginal bulging symptoms and dyspareunia. Clinical examination revealed a 4-5 cm hard bulging mass in the anterior vaginal wall, below the urethra, compatible with vaginal leiomyoma. After proper counseling, the patient was admitted to transvaginal leiomyoma excision plus primary layered repair.
No surgical complications were observed. The indwelling catheter was removed the day after the surgery. The patient was successfully discharged home on postoperative day 1. The patient is currently asymptomatic and there are no signs of recurrence.
The procedure was successful in obtaining anatomical repair and relieving symptoms. This approach represents a valid procedure for the surgical management of this uncommon condition.
阴道平滑肌瘤是生殖区域罕见的良性肿瘤，表现为沿阴道管的边界清晰、可活动且无压痛的肿块。阴道平滑肌瘤治疗的金标准是手术治疗。我们旨在介绍一例通过经阴道切除术和分层修复成功治疗的阴道平滑肌瘤临床病例。
一名44岁女性因阴道膨出症状和性交困难转诊至我科。临床检查发现尿道下方阴道前壁有一个4 - 5厘米的硬实性膨出肿块，与阴道平滑肌瘤相符。经过适当的咨询后，患者接受了经阴道平滑肌瘤切除术及一期分层修复。
未观察到手术并发症。术后第一天拔除留置导尿管。患者术后第1天成功出院回家。患者目前无症状，无复发迹象。
该手术成功实现了解剖修复并缓解了症状。这种方法是治疗这种罕见病症的有效手术方式。
