PMC5820579_01
Preoperative imaging: T2-weighted pelvic MRI. F: fibroid uterus. B: bladder. *Paraurethral leiomyoma.
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A MRI was performed and an incidental finding was noted of an indeterminate 5.5 cm solid enhancing mass inferior to the bladder and inseparable from the superior anterior wall of urethra (Figure 1).
Intraoperative images of surgical field.
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The superior and lateral attachments of this mass were easily dissected free; however the mass was densely adherent to the detrusor muscle (Figure 2).
Gross image of excised paraurethral mass.
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Paraurethral mass pathology returned as leiomyoma with negative surgical margins (Figure 3).