Paraurethral leiomyoma--an imitator.

In location and clinical appearance a paraurethral leiomyoma imitated other disease in 2 patients. Correct preoperative diagnosis of these lesions can avert therapeutic error. Diagnostic clues include a solid, noncystic mass that does not communicate with the urethra, is circumscribed, and has essentially normal overlying mucosa. A surgical approach through the anterior vaginal wall avoids urethral injury and enucleation is curative.