Leiomyoma of the bladder presenting as acute urinary retention in a female patient: urodynamic analysis of lower urinary tract symptom; a case report

BMC Urology

Case Report

Yoko Nakahira¹  Hirofumi Sakamoto¹  Minoru Horinaga¹  Hitoshi Yanaihara¹  Hirotaka Asakura¹  Masashi Matsushima² 

[1] Department of Urology, Saitama Medical School, Moroyama, Saitama, Japan;Department of Urology, Saitama Medical School, Moroyama, Saitama, Japan;Department of Urology, Keio University School of Medicine, Tokyo, Japan;

关键词: Lower Urinary Tract Symptom;    Leiomyoma;    Bladder Tumor;    Detrusor Overactivity;    Bladder Outlet Obstruction;   

DOI  :  10.1186/1471-2490-10-13

 received in 2010-04-18, accepted in 2010-08-04,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundMost bladder tumors are derived from the urothelium. Benign mesenchymal tumors are rare. Leiomyoma of the bladder is the most common benign neoplasm. We present a case of leiomyoma of the bladder presenting with acute urinary retention in a female patient and report on the post-operative change in urodynamic findings. To our knowledge, few cases of this kind have been reported.Case PresentationA 56-year-old woman presented with acute urinary retention. Evaluations including ultrasound, magnetic resonance imaging, cystoscopy, and urodynamics contributed to a diagnosis of leiomyoma of the bladder. Various medications were ineffective for solving her lower urinary tract symptoms; therefore, a transurethral resection was performed. The final pathological report was leiomyoma. After the operation, her symptoms resolved; this improvement was confirmed by an urodynamic analysis. The postoperative urodynamics demonstrated a lower frequency of detrusor overactivity during filling cystometry and an increase in the uroflow rate, with reduced detrusor pressure in a pressure flow study.ConclusionsLeiomyoma of the bladder can cause female outlet obstruction. A review of the literature and disease management is discussed.

【 授权许可】

Unknown   
© Matsushima et al; licensee BioMed Central Ltd. 2010. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.