Bladder Leiomyoma: Presentation, Evaluation and Treatment

Overview

Journal Arab J Urol

Date 2015 Nov 19

PMID 26579246

Citations 23

Authors

Nazih Khater

Ghazi Sakr

Affiliations

Soon will be listed here.

Abstract

Background: Bladder leiomyomas are benign mesenchymal neoplasms and very rare urinary tumours that represent <0.5% of all bladder tumours, with only 250 cases reported worldwide to date. The importance of recognising their characteristic features, leading to their correct treatment, is fundamental. Therefore, we reviewed reports of leiomyomas of the urinary bladder, their causes, clinical presentations, imaging methods and surgical management, updated to 2012.

Methods: We retrospectively reviewed articles published in the USA, Europe and Asia, from 1953 to date, using PubMed, Medscape, Medline and the several major journals. We report areas of controversies and well-established guidelines.

Results: We reviewed 36 articles that confirmed, with a high level of evidence-based medicine, that the male to female ratio is equal, the cause of bladder leiomyomas remains unknown, and their most common presentation is obstructive uropathy; endovesical tumours are the most common. Their radiological diagnosis can be made by ultrasonography, computed tomography or magnetic resonance imaging. Complete surgical resection is a very effective treatment, associated with almost no recurrence.

Conclusion: In symptomatic patients a complete surgical resection can give a very good outcome, with almost no recurrence.

Citing Articles

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

Prihadi J, Hengky A, Lionardi S, Haruman S BMC Urol. 2024; 24(1):252.

PMID: 39538239 PMC: 11562614. DOI: 10.1186/s12894-024-01624-3.

Dual treatment approach for leiomyomas of urinary bladder: Experience from tertiary hospital.

Chiloleti G, Mlatie I, Sobbo S, Mbezi M, Kibona H, Mushi F Int J Surg Case Rep. 2024; 123:110316.

PMID: 39299196 PMC: 11424800. DOI: 10.1016/j.ijscr.2024.110316.

A Rare Case of Urinary Bladder Leiomyoma Invading Urachal Remnant Managed With Robotic Partial Cystectomy.

Elsheikh M, Oxley J, Qureshi F, Thornton M Cureus. 2024; 16(7):e64222.

PMID: 39131002 PMC: 11310898. DOI: 10.7759/cureus.64222.

Bladder Leiomyoma in a 15-Year-Old Female Patient: A Case Report.

Genc Y, Ulker N, Toper M, Yucel S, Sener T Cureus. 2024; 16(5):e61310.

PMID: 38983791 PMC: 11231453. DOI: 10.7759/cureus.61310.

Partial Cystectomy Management of Bladder Leiomyoma in a Patient With Recurrent Urinary Tract Infections: A Case Study.

Abdulwahab Almansour H, Bokhari A, AlTamimi A, Alshammari H, Abd El Moneim Abdo Y Cureus. 2024; 16(3):e56419.

PMID: 38638751 PMC: 11026031. DOI: 10.7759/cureus.56419.

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