Large leiomyoma of the bladder masquerading as an enlarged prostate gland

Abstract

SUMMARYA 56-year-old man was admitted to hospital with shortness of breath and subsequently sustained a cardiac arrest. In the recovery period, he developed acute urinary retention and haematuria. Imaging suggested an enlarged prostate and he was started on clean intermittent catheterisation. Following further imaging and a transurethral biopsy, he was found to have a bladder leiomyoma. This was treated with laparotomy, cystotomy and enucleation of the tumour. At his 6-week follow-up appointment, he had a satisfactory cystogram and a successful void without catheter. BACKGROUND

Leiomyoma of Urinary Bladder in Middle-Aged Female

“…MRI by itself could confirm this diagnosis, but it cannot differentiate mesenchymal tumors from the more common transitional cell tumors, and the histopathological study is always necessary to confirm the diagnosis [4,5].…”

“…Treatment is determined primarily according to the size and anatomical location of the tumors. Surgical options include transurethral resection of the tumor and open surgical excision [5]. Surgical excision has excellent prognosis and should always be offered.…”

“…Moreover, transurethral resection is a safe and effective initial choice for patients with relatively smaller tumors. Larger tumors and those with extravesical growth usually require open surgery with segmental resection or partial cystectomy [5]. Successful laparoscopic and robotic resection of leiomyoma of the urinary bladder has also been reported [4].…”

Urinary Bladder Leiomyoma Causing Obstructive Uropathy: A Case Report and Literature Review

“…Moreover, transurethral resection is a safe and effective initial choice for patients with relatively smaller tumors. Larger tumors and those with extravesical growth usually require open surgery with segmental resection or partial cystectomy [17].…”