Robotic transvesical bladder leiomyoma excision

Baird, Bryce; Ericson, Christian; Augustus, Anderson; Geldmaker, Laura E.; Wajswol, Ethan; Young, Paul R.

doi:10.1016/j.eucr.2022.102054

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…However, laparoscopy, transurethral resection, and transvaginal resection using a hysteroscope are also other options. Robotic-assisted excision of bladder leiomyomas provides the opportunity for this definitive treatment to be delivered in a minimally invasive way, providing all of the well-described advantages to patients of minimally invasive surgery (MIS) [5]. Literature on the excision of bladder leiomyomas using robotic approaches is limited.…”

Section: Discussionmentioning

confidence: 99%

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Robotic assisted transvesical excision of recurrent bladder leiomyoma with intraoperative ultrasound guidance

Ali,

Wilby,

Dossantos

et al. 2023

UTJ

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Leiomyoma of the urinary bladder is uncommon benign tumor with a wide range of clinical presentations. Surgical excision remains the definitive treatment of leiomyoma with excellent outcomes. Seldom literatures reported the use of robotic-assisted surgical techniques for its excision. A 51-year-old woman presented with frequent episodes of visible hematuria in consistence with lower urinary tract symptoms. The initial diagnosis was a urinary tract infection. However, symptoms did not resolve even with the proper antibiotics. After further investigations a soft tissue density mass measuring 20 × 23 × 20 mm within the left posterior wall of the urinary bladder extending towards the bladder neck was found. The histological finding of the transurethral resected biopsy of the mass revealed a benign submucosal leiomyoma of the bladder with no evidence of any malignancy. Using the Intuitive Da Vinci X system the tumor was excised using the ultrasound guidance to define the tumour margins, sparing the left ureteric orifice and ureter. The patient was discharged home on the day of surgery, with a urethral catheter in place. The catheter was successfully removed after 10 days, with cystogram prior confirming no leakage. The ureteric stent was removed by flexible cystoscopy two weeks later. The final histology was reported as a bladder leiomyoma with no evidence of malignant features and negative circumferential resection margins. Herein, in the current case we present a safe and effective technique for the excision of recurrent bladder leiomyoma using the robotic-assisted transvesical approach with intraoperative ultrasound guidance.

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Section: Discussionmentioning

confidence: 99%

“…Laparoscopic partial cystectomy was also suitable [4]. However, there are very limited data on the robotic excision of bladder leiomyoma [5]. Over the past 20 years, the application of robotic assisted technology in urological oncology has totally transformed the urologists' manner for approaching tumors.…”

Section: Introductionmentioning

confidence: 99%

Robotic assisted transvesical excision of recurrent bladder leiomyoma with intraoperative ultrasound guidance

Ali,

Wilby,

Dossantos

et al. 2023

UTJ

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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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Robotic transvesical bladder leiomyoma excision

Cited by 3 publications

References 5 publications

Robotic assisted transvesical excision of recurrent bladder leiomyoma with intraoperative ultrasound guidance

Robotic assisted transvesical excision of recurrent bladder leiomyoma with intraoperative ultrasound guidance

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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