患者,女,47岁。主诉尿道口肿物一年入院。于6年前曾因“尿道肉阜”而行电灼治疗,术后症状缓解。近年来又发现尿道口有肿物,偶有尿频,无明显血尿。体检:可见尿道远端前璧有1.5cm×1.5厘米暗红色实质肿块,部分突向尿道口外。肿块界限清楚,质硬,尚光滑,无溃破及出血。血、尿常规正常。于1978年8月21日在鞍麻下行单纯肿瘤切除,病理报告为尿道平滑肌瘤。术后经过顺利,随访3年未再发。讨论:在所有的尿道肿瘤中以平滑肌瘤最为少见,Mooppan等1979年在报导2例女性尿道平 Patient, female, 47 years old. The main complaint urethral tumor year hospitalization. 6 years ago because of “urethral meat Fu” and line of electrocautery treatment, postoperative symptoms ease. In recent years found urethral tumor, occasional urinary frequency, no significant hematuria. Physical examination: visible distal urethral biopsy 1.5cm × 1.5 cm dark red mass, part of the protruding urethral orifice. Clear boundaries, hard, still smooth, no ulceration and bleeding. Blood, urine routine normal. On August 21, 1978 in the saddle down simple tumor resection, pathology report for urethral leiomyoma. After a smooth, follow-up 3 years without recurrence. Discussion: The most common form of leiomyoma is in all urethral tumors. Mooppan et al. Reported in 1979 two female urethral levels