Leiomyoma of the urinary bladder: Case report

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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“…Symptoms are obstructive (49%), irritative (38%) or hematuria (11%). 3,14,19,20 Our patient had an endovesical leiomyoma and irritative symptoms.…”

Section: Discussionmentioning

confidence: 75%

Transurethral resection of a bladder leiomyoma: A case report

Göktuğ¹,

Öztürk²,

Şener

et al. 2014

CUAJ

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“…Leiomyomas of the urinary bladder are rare mesenchymal tumors accounting for less than 0.04-1.5% of bladder tumors [2]. Approximately 200 cases have been described in the literature.…”

Section: Discussionmentioning

confidence: 99%

Bladder leiomyoma mimicking cervical or vaginal myoma

2010

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“…Both of these actions have a very high risk in which vascularization in the pelvic area will be very complex, pressure on cervical myoma will have a high risk of injuring the urinary bladder mucosa and when setting aside the lower segment of the uterus there is a risk of injury. 6,7 The Case Report A 38-year-old woman, with a history of cesarean section 10 years ago, who came to Rumah Sakit Ibu dan Anak Anugerah, complained of not being able to urinate for a day and since a week ago there was always a spot of blood when urinating. From the anamnesis, there was difficulty in urinating for the last 2 months and she also felt lower abdominal pain, but it did not interfere with daily activities, and there was no menstrual pattern disturbance.…”

Section: Introductionmentioning

confidence: 99%

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2023

Obgynia

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The 20-25% incidence of uterine myoma often experienced by women in childbearing age and 2% of these uterine myomas attach and grow in the uterine cervical area. The chief complain of cervical myoma are lumps in the lower abdomen that are getting bigger and pressing on the urinary bladder cause difficulty in urinating and are accompanied by bloody urine, although the amount of menstrual blood is still within reasonable limits. Like uterine myomas, cervical myomas are not fused with the myometrial lining but are covered by thin connective tissue on the surface.The procedure of cervical myoma based on ACOG (American College of Obstetrics and Gynecology) is hysterectomy if the patient no longer wants to get pregnant, or myomectomy if the patient still wants to have children. Both of these actions have a very high risk in which vascularization in the pelvic area will be very complex, pressure on cervical myoma will have a high risk of injuring the urinary bladder mucosa and when setting aside the lower segment of the uterus there is a risk of injury. We present a 38-year-old woman with 30 x 26 x 22 cm giant cervical myoma and secondary infertility that was treated with challenging laparotomi myomectomy in colaboration with urologist to preserve fertility. There was a tear in the upper part of the urinary bladder which was elongated with irregular edges measuring 12 x 5 cm after enucleation cervical myoma. The tear was repaired immediately and there are no complications in the form of vesico-vaginal fistulas or vesico-cervical postoperatively

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Leiomyoma of the urinary bladder: Case report

Cited by 4 publications

References 0 publications

Transurethral resection of a bladder leiomyoma: A case report

Transurethral resection of a bladder leiomyoma: A case report

Bladder leiomyoma mimicking cervical or vaginal myoma

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