A case report of bladder leiomyoma: an unusual bladder tumour

Stanescu, Andi; Smith, Stephanie F; Ball, Richard Y.; Reddy, Utsav D.; Tsiotras, A.

doi:10.1093/jscr/rjac580

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…Leiomyoma of the urinary bladder is an exceptionally rare yet benign mesenchymal neoplasm, with less than 250 cases ever reported 1. While leiomyomas are relatively common in other smooth muscle tissue including the uterus, they account for only 0.43% of all bladder tumours 2.…”

Section: Discussionmentioning

confidence: 99%

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Chronic pelvic pain and dysmenorrhea disguising a rare submucosal leiomyoma of the urinary bladder

Smith,

Khanna,

Pierce

et al. 2024

BMJ Case Rep

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Representing 0.43% of all urinary bladder neoplasms, leiomyomas are rare mesenchymal tumours with a benign pathophysiology. There have only been approximately 250 cases published on this subject, necessitating further inquiry into this disease and effective management protocols. Treatment options may include a broad spectrum of surgical interventions, from minimally invasive resection to radical cystectomy, depending on the location, size and symptoms associated with the tumour. To date, few cases of leiomyoma have resulted in recurrence after removal, and zero have reported malignant transformation. Described here in detail is a woman in her early 40s who presented with a history of chronic pelvic pain and irregular vaginal bleeding. The urology team completed further evaluation after imaging discovered a concerning bladder lesion. Eventually, she underwent transurethral resection, with the subsequent pathology revealing a rare diagnosis of leiomyoma in the urinary bladder.

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Section: Discussionmentioning

confidence: 99%

“…Leiomyomas constitute only 0.43% of all neoplasms in the urinary bladder and have been reported in the literature fewer than 250 times, presenting a challenge for clinicians in determining effective intervention protocols 1. Treatment of this benign mesenchymal tumour is highly dependent on both its size and location.…”

Section: Introductionmentioning

confidence: 99%

Chronic pelvic pain and dysmenorrhea disguising a rare submucosal leiomyoma of the urinary bladder

Smith,

Khanna,

Pierce

et al. 2024

BMJ Case Rep

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Characteristics and outcomes in bladder Leiomyoma management: a systematic review of case reports and case series from the past 20 years

Prihadi,

Hengky,

Lionardi

et al. 2024

BMC Urol

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Introduction Bladder leiomyomas (LM) are uncommon, non-cancerous growths that originate from the smooth muscle cells of the bladder and constitute 0.5% of bladder tumor cases. This review aims to compile existing data and present a summary of bladder leiomyomas’ characteristics, management, and related outcomes. Method We conducted systematic review of studies that investigated bladder leiomyoma. Case studies or series describing individuals with bladder leiomyoma who underwent surgery and the outcomes were included. Four databases were used in our literature search, which was carried out until January 2024: PubMed, Proquest, EBSCOHost, and Google Scholar. We utilized MeSH terms such as “leiomyoma,” “urinary bladder,” and looked for synonyms of “bladder leiomyoma” in free text. Results A total of 99 studies with 119 patients were included. Most reported bladder leiomyoma cases were female, accounting for 79.0% of all cases. While symptomatic patients primarily presented with lower urinary tract symptoms (LUTS) (59.7%), hematuria (24.4%), acute urine retention (11.8%), and about 16.8% of cases were incidentally detected. Storage-related symptoms were the most common LUTS (37.0%). Different diagnostic techniques were used, frequently combining CT (Computed Tomography), MRI (Magnetic Resonance Imaging), USG (Ultrasonography), and/or cystoscopy. Bladder leiomyomas were commonly found on the left lateral wall (26.9%) and the bladder neck (17.6%). In more than half of the cases (52.1%) the treatment techniques used were transurethral resection (TURBt/TUR). Fifteen out of 119 cases (12.6%) had recurrence or remain symptomatic. Symptomatic symptoms at first presentation and extended location are frequently found among recurrent or symptomatic cases after first management. Conclusion Management of bladder leiomyoma should focus on the relief of symptoms and recurrence and be personalized based on the tumor characteristics, patient symptoms, and surgeon’s expertise. Further investigation is necessary to fully understand the best course of treatment and long-term results for bladder leiomyomas. In particular, prospective trials with bigger participant pools and meticulously controlled factors should be the main emphasis of this research. Supplementary Information The online version contains supplementary material available at 10.1186/s12894-024-01624-3.

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Characteristics and Outcomes in Bladder Leiomyoma Management: A Systematic Review of Case Reports and Case Series from the Past 20 Years

Prihadi,

Hengky,

Lionardi

et al. 2024

Preprint

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Introduction Less than 0.5% of cases are bladder leiomyomas, which are uncommon, non-cancerous growths that originate from the smooth muscle cells of the bladder. The purpose of this review is to compile existing data and present a summary of bladder leiomyomas' characteristics, management, and related outcomes. Method Case studies or series describing individuals with bladder leiomyoma who underwent surgery and the results they reported thereafter were included. Four databases were used in our literature search, which was carried out until January 2024: PubMed, Proquest, EBSCOHost, and Google Scholar. We utilized MeSH terms such "leiomyoma," "urinary bladder," and looked for synonyms of "bladder leiomyoma" in free text. Results The majority of reported bladder leiomyoma cases were in female accounting for 77.7% of all cases. While symptomatic patients primarily presented with lower urinary tract symptoms (LUTS) (60.7%), hematuria (23.0%), acute urine retention (11.5%), and about 16.4% of cases were incidentally detected. Storage-related symptoms were the most common LUTS (32.8%). Different diagnostic techniques were used, frequently combining CT, MRI, USG, and/or cystoscopy. Bladder leiomyomas were commonly found on left lateral wall (26.4%) and the bladder neck (17.4%). In more than half of the cases (51.2%) the treatment techniques used were transurethral resection (TURBt/TUR). Fifteen out of 121 cases had recurrence or remain symptomatic. Conclusion Further investigation is necessary to fully understand the best course of treatment and long-term results for bladder leiomyomas. In particular, prospective trials with bigger participant pools and meticulously controlled factors should be the main emphasis of this research.

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A case report of bladder leiomyoma: an unusual bladder tumour

Cited by 3 publications

References 8 publications

Chronic pelvic pain and dysmenorrhea disguising a rare submucosal leiomyoma of the urinary bladder

Chronic pelvic pain and dysmenorrhea disguising a rare submucosal leiomyoma of the urinary bladder

Characteristics and outcomes in bladder Leiomyoma management: a systematic review of case reports and case series from the past 20 years

Characteristics and Outcomes in Bladder Leiomyoma Management: A Systematic Review of Case Reports and Case Series from the Past 20 Years

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