Abstract
OBJECTIVES: Our purpose was to review what may be the largest experience of bladder and urethral leiomyomas from a single institution. STUDY DESIGN: A retrospective review was done of 23 female patients with emphasis on presentation, symptoms, and operative approach for excision. RESULTS: The majority of bladder and urethral leiomyomas in this series were asymptomatic, nonobstructive, or incidental (discovered at surgery for another entity). Ten patients had a palpable mass on physical examination. Two patients had pain as a presenting complaint. The route of operative excision was transvaginal (10 patients), transurethral leiomyoma removed elsewhere with a resultant vesicovaginal fistula. CONCLUSIONS: Corollaries should be sought with the experience of uterine leiomyomas, which are histologically identical to bladder leiomyomas. Asymptomatic, nonobstructive, and nonproblematic leiomyomas should not serve as an indication for primary operation. Pedunculated endovesical lesions may be an exception because of the ease of transurethral removal and their tendency to cause future symptoms. Ultrasonographic imaging, cystoscopy, and biopsy should be considered to allow observation and follow-up of leiomyomas. Future investigative cytogenetic studies should be considered on these mesenchymal tumors.
Original language | English (US) |
---|---|
Pages (from-to) | 1278-1285 |
Number of pages | 8 |
Journal | American journal of obstetrics and gynecology |
Volume | 176 |
Issue number | 6 |
DOIs | |
State | Published - 1997 |
Keywords
- Bladder leiomyoma
- Leiomyoma
- Urethral leiomyoma
ASJC Scopus subject areas
- Obstetrics and Gynecology