ABSTRACT
Leiomyomas are benign mesenchymal tumours that arise from the smooth muscle, mostly located in genital tract. M/C site of leiomyoma is uterus. (1) Leiomyoma arising from urethra are rare. Leiomyomas are most commonly seen in uterus. (2) Extra uterine leiomyomas are usually seen arising from vulva, ovaries, urethra, urinary bladder, GIT, and Vagina. (3) Leiomyoma of urethra is a rare benign mesenchymal tumor that affects women more often than men. Usually located in proximal urethra, seen in reproductive age group (mean age 41 yrs.) with possible hormone dependence. Presents with a variety of symptoms include – UTI, urinary retention, mass per urethra, dysuria. Diagnosis is by USG, MRI (4) confirmed by HPE. Complete surgical excision is the treatment of choice, recurrence is rare.