LEIOMYOMA OF URINARY BLADDER WITH LOWER URINARY TRACT SYMPTOMS IN A FEMALE PATIENT

Abstract

Bladder leiomyomas are rare tumors accounting for 0.43% of all bladder tumors and 35% of benign mesenchymal bladder tumors. Here, we present the case of a 37-year-old woman who was previously diagnosed with bladder leiomyoma proven on histopatology and was treated with trans urethral resection (TURBT) five times. On this occasion the patient presenting complaints were lower urinary tract symptoms such as incomplete bladder emptying, urinary urgency, urinary frequency, and hematuria. An Ultrasound scan of abdomen pelvis was performed which showed a mass in urinary bladder wall. Subsequent magnetic resonance imaging (MRI) and abdominal computed tomography (CT scan) were also performed. After confirmation, cystoscopy was done and the patient underwent transvesical resection of the bladder mass through a Pfannenstiel incision. During surgery, a single large bladder tumor was removed. This is the standard management approach for this condition. The patient underwent successful surgery, had symptom relief, and no recurrence during follow-up of 6 months.