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Mucosa-Sparing Trans-Vestibular Surgical Approach for Excision of an Anterior Urethral Leiomyoma: A Case Report and Review of the Literature

A dispatch from PubMed — filed

AND HYPOTHESIS: Urethral leiomyomas are rare benign smooth-muscle tumors. Approximately 40 well-documented cases have been reported, most arising from the posterior urethral wall where exposure is relatively straightforward. Anterior wall lesions pose surgical difficulty because of proximity to the external urinary sphincter, periurethral fascia, and vestibular mucosa, all of which must be preserved to avoid...

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✦ The floor

Discussion

Signed responses from readers of the wire.

Clinical Takeaway

No actionable change for audiologists — this article concerns urological surgery and has no relevance to audiology or hearing care practice.

Why It Matters

This article is not relevant to the audiology field; it was likely included in this batch in error.

Key Points
  1. 01Case report of a mucosa-sparing trans-vestibular surgical approach for urethral leiomyoma removal.
  2. 02Leiomyoma is a benign smooth-muscle tumor; fewer than 40 anterior urethral cases documented in literature.
  3. 03The technique aims to preserve surrounding mucosal tissue during excision.
  4. 04Literature review accompanies the case report.
  5. 05No audiology or hearing-related content is present in this article.
Research metadata
PMID
42709160
DOI
10.1007/s00192-026-06868-1.
Journal
International Urogynecology Journal
Publication type
case_report
Evidence level
4
Sample size
1
Population
Single patient with anterior urethral leiomyoma
Intervention
Mucosa-sparing trans-vestibular surgical excision of urethral leiomyoma

Primary outcomes

Successful tumor excision; Mucosal preservation

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