Dyspareunia due to leiomyoma of the urinary bladder: An unusual presentation of a rare bladder neoplasm

Sk, Chatterjee; Baksi, Aditya; Kumar, Sanjeev

doi:10.1007/s13126-014-0091-3

Cited by 5 publications

(1 citation statement)

References 8 publications

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“…Ultrasonography, CT scan, magnetic resonance imaging (MRI) and cystoscopy are high value diagnostic tools which can show the morphology and the anatomical location of the leiomyoma. Ultrasound shows leiomyoma as a solid flat hypoechoic tumor with hyperechoic mucosal lining (6). Also CT scan and the MRI are useful for the assessment of the bladder tumors.…”

Section: Discussionmentioning

confidence: 99%

Elderly patient with atypical leiomyoma of the bladder presenting as flank pain: A case report

Ameli

Rahmandoost

2017

Arch Ital Urol Androl

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Atypical leiomyoma is a rare tumor of the bladder whose correct diagnosis with imaging techniques and cystoscopy is difficult. This tumor is prevalent in females and more common in middle age. In the present study we report a rare case of atypical leiomyoma presenting as flank pain and history of recurrent urinary tract infections in an elderly female. Ultrasound (US) showed that the wall of bladder was thickening and irregular, especially in the lower part of the bladder. US revealed hypoechoic solid mass with dimensions of 37 x 26 mm in the posterior bladder wall protruding into the bladder. Computed Tomography scan of the patient showed a mass with dimensions of 29 x 38 mm in the posterior wall of the bladder that infiltrated the mesenteric fat and also seemed to be invading the intestinal wall. According to the general condition and age of our patient, we removed all of the mass under spinal anesthesia by transurethral bladder resection (TURBT). Biopsy results showed atypical leiomyoma. About 6 months after the patient follow-up, no recurrence was observed and symptoms had completely resolved. According to the non-specificity of the imaging, of the age of presentation and of clinical manifestations of atypical leiomyoma differential diagnosis for bladder cancer it is recommended. Only with histopathologic findings, the diagnosis can be confirmed.

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Section: Discussionmentioning

confidence: 99%

Elderly patient with atypical leiomyoma of the bladder presenting as flank pain: A case report

Ameli

Rahmandoost

2017

Arch Ital Urol Androl

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Bladder leiomyoma masquerading as a ureterocele

et al. 2021

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We present a unique case of bladder leiomyoma that was mistakenly diagnosed as a ureterocele. The delay in diagnosis meant ongoing significant voiding lower urinary tract symptoms, which could have been avoided. This was eventually successfully treated by transurethral resection. Leiomyoma is the most common benign bladder mass and should be considered in the differential diagnosis when a smooth mass with normal overlying mucosa is seen on cystoscopy or a homogeneous, low density bladder mass is seen on cross-sectional imaging. Despite the benign nature of the lesion, leiomyoma can convey significant morbidity to the patient.

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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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Dyspareunia due to leiomyoma of the urinary bladder: An unusual presentation of a rare bladder neoplasm

Cited by 5 publications

References 8 publications

Elderly patient with atypical leiomyoma of the bladder presenting as flank pain: A case report

Elderly patient with atypical leiomyoma of the bladder presenting as flank pain: A case report

Bladder leiomyoma masquerading as a ureterocele

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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