Leiomyoma of the Bladder and Urethra

Lake, Michael H.; Kossow, Alan S.; Bokinsky, Gary

doi:10.1016/s0022-5347(17)55189-7

Cited by 50 publications

(29 citation statements)

References 5 publications

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“…16,21 TUR, segmental resection or partial cystectomy is successfully performed in an open, laparoscopic or robotic fashion. 8,22,23 Because of the tumour's proximity to the orifice and the patient's preference, we performed TUR in the same session for both diagnosis and treatment. TUR was the patient's choice because of its relative non-invasiveness.…”

Section: Discussionmentioning

confidence: 99%

Transurethral resection of a bladder leiomyoma: A case report

Göktuğ¹,

Öztürk²,

Şener

et al. 2014

CUAJ

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Benign mesenchimal tumour of the human bladder is rare. Insulin potentiation therapy mimics malignant tumours both clinically and radiologically. We present a patient we treated with transurethral resection (TUR) only. A 27-year old male patient presented to our clinic with frequency, dysuria and recurrent urinary tract infections. Magnetic resonance (MRI) revealed an endovesical bladder mass of 7 × 8 cm. We performed TUR in the same session for both diagnosis and treatment. The diagnosis was endovesical leiomyoma. Six months to a year after the operation, the MRI did not reveal disease recurrence. Even though TUR is recommended for smaller and endovesical tumours, we believe larger intravesical tumours may also be managed by TUR.

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Section: Discussionmentioning

confidence: 99%

Transurethral resection of a bladder leiomyoma: A case report

Göktuğ¹,

Öztürk²,

Şener

et al. 2014

CUAJ

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“…However these influences remain unclear. In the literature no malignant transformation has been documented and only 1 case experienced a recurrence [7]. This implicates an excellent prognosis of the tumor after surgery.…”

Section: Commentsmentioning

confidence: 91%

A 3,500-Gram Leiomyoma of the Bladder: Case Report on a 3-Year Follow-Up after Surgical Enucleation

Broessner¹,

Klingler

Bayer³

et al. 1998

Urol Int

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We report on a unique-sized large leiomyoma of the bladder wall in a male patient. After open surgical intervention all symptoms resolved spontaneously and no relapse occurred within a 3-year follow-up period. In conclusion, for symptomatic leiomyoma of the bladder surgical intervention should be considered as an early treatment option since it is associated with low morbidity, a high cure rate for this type of tumor and an immediate relief of urological symptoms.

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“…A large intramural or an extravesical leiomyoma requires wide excision or partial cystectomy. Surgical treatment is almost always very effective, leaving a very low recurrence rate, and with no symptoms, confirming the benign nature of bladder leiomyomas and their excellent prognosis [11,12].…”

Section: Discussionmentioning

confidence: 82%

Bladder Leiomyoma - An Unusual Cause of Acute Urinary Retention

Siddappa¹

2017

JCPCR

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Introduction: Bladder leiomyomas are benign mesenchymal neoplasms with only 250 cases reported worldwide to date. They can be asymptomatic, but the majority present with obstructive symptoms (49%), irritative symptoms (38%) and hematuria (11%). The importance of recognizing their characteristic features, leading to their correct treatment, is fundamental. Methods:Case report and review of pertinent English medical literature.Results: A 53 year old lady presented with urgency and frequency for 3 months, with two episodes of painless total hematuria. She was catheterized for acute urinary retention elsewhere. Clinical examination was unremarkable. Ultrasound (US) showed a heterogeneously hypoechoic lesion of 4 x 3 cm in bladder base. Contrast enhanced computed tomogram (CECT) showed a 5 x 4 cm well circumscribed hypodense lesion arising from trigone, without hydroureteronephrosis. A mucosal bulge measuring around 5 x 5 cm was seen in the right lateral wall extending upto bladder neck at cystoscopy. Transurethral resection (TUR) was done and biopsy showed fragments of tumor tissue composed of spindle cells arranged in sheets and interlacing fascicles, without mitosis or necrosis, suggestive of leiomyoma bladder. Immunohistochemistry showed SMA and desmin positivity. Complete TUR enuceation was done and patient is doing well at 6 months of follow up without recurrence or hematuria. Conclusion:Leiomyoma of the bladder should be kept in mind in chronic lower urinary tract symptoms with acute urinary retention and hematuria in patients presenting in the third to sixth decade, especially in women. A complete assessment to look for endovesical leiomyoma should be made.

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Leiomyoma of the Bladder and Urethra

Cited by 50 publications

References 5 publications

Transurethral resection of a bladder leiomyoma: A case report

Transurethral resection of a bladder leiomyoma: A case report

A 3,500-Gram Leiomyoma of the Bladder: Case Report on a 3-Year Follow-Up after Surgical Enucleation

Bladder Leiomyoma - An Unusual Cause of Acute Urinary Retention

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