Welcome to Bilingual Publishing Group
Bilingual Publishing Group

Leiomyoma Of Urinary Bladder a Rare Entity: Series Of 3 Cases And Review Of Literature

Authors

  • Nitesh Kumar Email MS (General Surgery), MCH trainee Urology, Osmania Medical College, India
  • Karthik M MS (General Surgery), MCH trainee Urology, Osmania Medical College, India
  • Samyuktha K MS (General Surgery), MCH trainee Urology, Osmania Medical College, India
  • Sunil Palve MS (General Surgery), MCH trainee Urology, Osmania Medical College, India
  • Tushar Agrawal MS (General Surgery), MCH trainee Urology, Osmania Medical College, India

DOI:

https://doi.org/10.30564/jor.v1i3.1642
Received: 13 January 2020 | Published Online: 30 April 2020

Abstract

Introduction: Leiomyoma of urinary bladder is a rare entity and comprises 0.43% of all bladder tumors. Here we present our series of 3 cases
and the related review of literature. Methods: 3 cases of bladder leiomyoma presented over a period of 16 months in Osmania Medical College
and Hospital. Detailed history was taken, physical examination, routine
blood, urine and radiological investigations were done. Patients were
treated by Trensurethral Resection (TUR) of the mass and histopathological analysis with Immunohistochemistry was done for all cases. Results:
All 3 cases were females with mean age of 31.6 years. All cases were
endovesical type, mass near bladder neck and presented with obstructive
symptoms. Two cases presented with acute retention of urine. Radiological investigations in all patients suggested a possibility of leiomyoma and
all cases had reduced urinary flow rates. Histopathology confirmed the
diagnosis in all cases. No recurrence was found at one year of follow up.
Conclusion: Leiomyoma of urinary bladder is a rare disorder which frequently occurs in middle aged females. Symptoms are related to its size
and location, diagnosis is confirmed by histopathological analysis. Treatment is by surgery (mainly TUR). Prognosis of the disease is excellent.

Keywords:

Leiomyoma, Benign tumor, Bladder outlet obstruction, Benign bladder tumor, LUTS

References

[1]Khater N, Sakr G. Bladder. leiomyoma: Presentation, evaluation and treatment. Arab journal of urology, 2013, 11(1): 54-61.

[2]Park JW, Jeong BC, Seo SI, Jeon SS, Kwon GY, Lee HM. Leiomyoma of the urinary bladder: a series of nine cases and review of the literature. Urology, 2010, 76(6): 1425-9.

[3]Goluboff ET, O'Toole K, Sawczuk IS. Leiomyoma of bladder: report of case and review of literature. Urology, 1994, 43(2): 238-41.

[4]Campbell EW, Gislason GJ. Benign mesothelial tumors of the urinary bladder: review of literature and a report of a case of leiomyoma. The Journal of urology, 1953, 70(5): 733-42.

[5]Knoll LD, Segura JW, Scheithauer BW. Leiomyoma of the bladder. The Journal of urology, 1986, 136(4): 906-8.

[6]Matsushima M, Asakura H, Sakamoto H, Horinaga M, Nakahira Y, Yanaihara H. 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, 2010, 10(1): 13.

[7]Cornella JL, Larson TR, Lee RA, Magrina JF, Kammerer-Doak D. Leiomyoma of the female urethra and bladder: report of twenty-three patients and review of the literature. American journal of obstetrics and gynecology, 1997, 176(6): 1278-85.

[8]Huang HY, Chen WJ, Sung MT, Huang CC. Atypical leiomyoma of the urinary bladder. Scandinavian journal of urology and nephrology, 2002, 36(3): 231-3.

[9]Furuhashi M, Suganuma N. Recurrent bladder leiomyoma with ovarian steroid hormone receptors. The Journal of urology, 2002, 167(3): 1399-400.

[10] Neto AG, Gupta D, Biddle DA, Torres C, Malpica A. Urinary bladder leiomyoma during pregnancy: report of one case with immunohistochemical studies. Journal of Obstetrics and

Gynaecology, 2002, 22(6): 683-5.

[11] Strang A, Lisson SW, Petrou SP. Ureteral endometriosis and coexistent urethral leiomyoma in a postmenopausal woman. International braz j urol, 2004, 30(6): 496-8.

[12]Caspi B, Weinberg D, Weissman A, Eisencraft S, Dgani R. Leiomyosarcoma of the bladder-ultrasonographic features. Ultrasound in Obstetrics and Gynecology: The Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology, 1992, 2(6): 432-3.

[13]Illescas FF, Baker ME, Weinerth JL. Bladder leiomyoma: advantages of sonography over computed tomography. Urologic radiology, 1986, 8(1): 216-8.

[14]Huang C, Luo J, Yuan D, Gan D, Geng K. MRI diagnosis and differential diagnosis of bladder leiomyoma. Journal of Practical Radiology, 2017, 33(8): 1230-2.

[15]Jain S, Dahiya P, Dahiya K, Kamal H, Jain N. Bladder Leiomyoma: A Diagnostic Challenge. Journal of Gynecologic Surgery, 2019.

[16]Puglisi T, Curto F, Caldarella G, Morgia G. Laparoscopic partial bladder cystectomy for a bladder leiomyoma.

[17]Yoshioka T, Kawakita M, Kameoka H. Cystoscope-Assisted Laparoscopic Enucleation of a Large Progressive Bladder Leiomyoma. Journal of Endourology Case Reports, 2019.

[18] Ganapathy VS, Siddappa S, Saini VA, Keshavamurthy R. Bladder Leiomyoma-An Unusual Cause of Acute Urinary Retention. J Cancer Prev Curr Res., 2017, 8(4): 00287.

Downloads

Issue

2019 Vol.1 No.3

Article Type

Article

License

Copyright © 2020 Nitesh Kumar, Karthik M, Samyuktha K, Sunil Palve, Tushar Agrawal

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.