Two cases of female acute urinary retention caused by an impacted pelvic mass

Abstract

We report two cases of acute urinary retention in women with an impacted pelvic mass. In both cases, all urinary symptoms resolved completely after the surgical removal of the mass.

Female detrusor underactivity: Two uterine leiomyoma cases

“…Previous authors reported that urinary retention due to UL commonly occurs in early morning (early‐morning voiding difficulty or urinary retention) 7,14,15 . However, these findings were not obvious in our case.…”

“…However, similar intermittent/transient worsening (retention) is observed during the day (in the morning, as mentioned above) and during a menstrual cycle (at the onset, in our case 1) in UL. These findings might well reflect the hormonal and circulatory/body‐position influences on the uterus 7,14,15 . As for storage‐phase symptom, we did not perform a bladder diary; therefore we could not reproduce the storage‐phase urodynamic findings of increased bladder sensation by a bladder diary in case 1.…”

A prospective observational study of lower urinary tract symptoms before and after surgical removal of a large pelvic mass

“…Symptoms can consist of feelings of discomfort and pressure, but various lower urinary tract symptoms have also been reported. A number of case reports/series have documented the relationship between uterine fibroids and voiding dysfunction, including acute urinary retention [5][6][7]. An ultrasound study suggested that the presence of a posterior fibroid might displace the cervix anteriorly, causing compression of the bladder neck and resulting in bladder outlet obstruction and subsequent urinary retention [8].…”

Bladder neck leiomyoma presenting with acute retention of urine in an elderly female

“…A large fibroid may weigh down the uterus, causing acute retroversion and compression of the cervix against the proximal urethra. [5] This causes anterior deflection of the cervix and subsequent urethral compression. [6] As the fibroid enlarges, it may become incarcerated in the pelvis and may stretch urinary bladder affecting its function and contractility.…”