TY  - EJOU
AU  - Kwon, Matthew 
AU  - Bagguley, Dominic 
AU  - Cole-Clark, Dane 
AU  - Tiu, Albert 

TI  - Robotic transvesical excision of large bladder leiomyoma: a case report
T2  - Canadian Journal of Urology

PY  - 
VL  - 
IS  - 
SN  - 1488-5581

AB  -  <b>Background:</b> Bladder leiomyomas are rare benign tumours arising from smooth muscle cells, accounting for less than 0.5% of all bladder neoplasms. Surgical excision remains the gold standard for management; however, few reports describe the use of robotic assistance for this purpose. <b>Case Description:</b> We present the case of a woman in her mid-30s who developed painless macroscopic haematuria and acute urinary retention, with imaging revealing a large bladder leiomyoma. Following unsuccessful endoscopic management and hysterectomy, she underwent robotic-assisted transvesical excision of the lesion, resulting in marked symptomatic improvement. <b>Conclusions:</b> Larger bladder leiomyomas can present significant diagnostic and therapeutic challenges, particularly when located near the trigone. This case demonstrates that robotic transvesical excision is a feasible and effective approach in selected patients and highlights the importance of considering primary bladder pathology in cases of diagnostic uncertainty.
KW  - leiomyoma; robotic surgical procedures; urologic surgical procedures; lower urinary tract symptoms; case report

DO  - 10.32604/cju.2026.083068