Leiomyoma of the male urethra - A case report and review of the literature

We describe the case of a 48-year-old quadriplegic black man with history o f C4-C5 cervical spine and cord injury secondary to a fall, who presented t o the University of Cincinnati Medical Center Urology Service with obstruct ive symptoms at urination. A bulbous urethral stricture was diagnosed and s ubsequently resected with primary urethral reanastomosis. On pathologic exa mination, the surgical specimen contained an epithelioid leiomyoma at the s ite of the urethral stricture. Although leiomyomas of the female urethra ar e relatively common, we identified only 2 previously reported cases of leio myomas of the male urethra in the English-language medical literature. To t he best of our knowledge, we describe the third case of leiomyoma of the ma le urethra, the first of the epithelioid type.