Asymptomatic bladder leiomyoma: a report of three cases treated with minimal invasive techniques and a review of literature Case report

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Published: Sep 30, 2022
DOI: https://doi.org/10.24292/01.OR.123301922
Keywords:
bladder, leiomyoma, EBRT, laparoscopic partial cystectomy

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Maciej Przudzik
Department of Urology, Faculty of Medicine, University of Warmia and Mazury, Olsztyn, Poland
Maria Derkaczew
Department of Urology, Faculty of Medicine, University of Warmia and Mazury, Olsztyn, Poland
Mirosław Łesiów
Department of Urology, Faculty of Medicine, University of Warmia and Mazury, Olsztyn, Poland
Marek Roslan
Department of Urology, Faculty of Medicine, University of Warmia and Mazury, Olsztyn, Poland

Abstract

Introduction: Bladder leiomyoma is a very rare neoplasm and are estimated at about < 0.5% of all urinary bladder tumors. Most patients complain of lower urinary track symptoms. In 20% of cases patients remain asymptomatic.


Objective: The aim of this study was to investigate the topic of bladder leiomyomas, present our experience in the management of this neoplasm and review the published data concerning this rare entity.


Material and methods: From March 2018 to February 2021 three patients (2 females, 1 male) aged 39 to 58 years (mean 49.3 years) were treated for bladder leiomyoma in our center.


Results: Two patients underwent en bloc transurethral resection of bladder tumor and one had laparoscopic partial cystectomy. Tumors were located in favourable positions with the mean diameter of 37.67 mm. The mean operative time was 46.67 min (range from 15 to 95 min). At the mean follow-up time of 36 months. None of our patients had a recurrence of bladder leiomyoma.


Conclusions: Properly performed removal of bladder leiomyoma gives satisfactory results. Transurethral resection of bladder tumor is the gold standard of treatment, highly valued for its safety and minimal invasiveness, however in cases of unfavourable located or large tumors laparoscopic approach or EBRT with defragmentation or morcellation may be preferred.

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How to Cite
1.
Przudzik M, Derkaczew M, Łesiów M, Roslan M. Asymptomatic bladder leiomyoma: a report of three cases treated with minimal invasive techniques and a review of literature. OncoReview [Internet]. 2022Sep.30 [cited 2024Nov.21];12(3(47):59-4. Available from: https://journalsmededu.pl/index.php/OncoReview/article/view/2426
Issue
Vol 12 No 3(47) (2022)
Section
PERSONALIZED ONCOLOGY

Copyright: © Medical Education sp. z o.o. This is an Open Access article distributed under the terms of the Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). License (https://creativecommons.org/licenses/by-nc/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.

Address reprint requests to: Medical Education, Marcin Kuźma (marcin.kuzma@mededu.pl)

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