Paraurethral leiomyoma is a rare condition with less than 45 cases reported in the literature worldwide [1-14] Prompt diagnosis, especial needs to exclude malignant tumor. Proper treatment is necessary to prevent complications. Clinically is very difficult to distinguish from other urethral lesions, the diagnosis of leiomyoma is established by histopathological examination [7,15-16] Our case was different in that the mass was located in the posterior wall of distal urethra, which is not the common site of presentation of leiomyoma in females, our patient is a virgin women and also the leiomyoma was protruding outside the introits. She had no symptoms.