Case Series - Prioritizing Bladder-sparing Treatments in Patients with Urinary Tract Leiomyoma: A Report of Three Cases and Updated Literature Review

Overview

Journal Can Urol Assoc J

Specialty Urology

Date 2022 Jun 15

PMID 35704928

Authors

Shannon McNall

Terry Park

Nikhil Gopal

Evan Spencer

Lakshmisree Akhila Vemulakonda

Muhammad Choudhury

Nathan Colin Wong

Affiliations

Soon will be listed here.

Abstract

Urinary tract leiomyomas are rare, benign mesenchymal tumors that are traditionally treated with complete surgical excision. We present three cases of urinary tract leiomyoma - two located in the bladder and one in the ureter. Both bladder leiomyomas were treated with transurethral resection of bladder tumor (TURBT) with no evidence of recurrent disease, while the upper tract leiomyoma was managed with surveillance by patient preference, which to our knowledge, has not been previously described. The ureteral leiomyoma has remained stable at five years followup from initial diagnosis. Given the benign nature of leiomyomas and the overall low recurrence rate reported in the literature, bladder-sparing options should be emphasized when feasible, with active surveillance potentially applicable for highly select patients.

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