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We report a case of anterior genital paraurethral leiomyoma. Additionally, we performed a systematic writeup on the literature to produce information that will help the physicians within the diagnosis and handling of ladies with this particular rare pathology. Techniques A case of anterior genital paraurethral leiomyoma in 53-year-old, primiparous, caucasian woman with history of pelvic force, vaginal bulging and overactive kidney symptoms, was explained. Moreover, a systematic