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Leiomyoma of the urinary bladder presenting as urinary retention in the female

Susan E. Saunders, Jacob Matthew Conjeski, Stanley Zaslau, Jim Williams, Stanley J. Kandzari

Division of Urology, West Virginia University, Morgantown, West Virginia, USA
Address correspondence to Dr. Stanley Zaslau, Division of Urology, West Virginia University, P.O. Box 9238, Morgantown, WV 26506 USA

Canadian Journal of Urology 2009, 16(4), 4762-4764.

Abstract

A case of leiomyoma of the urinary bladder, a rare benign tumor, in a 56-year-old female fi rst seen with bilateral fl ank pain radiating to both groins, is reported. Examination showed a well developed female with obesity (260 pounds) and elevated blood pressure (132/90 mmHg). Evaluation with ultrasound, cystoscopy, urodynamics, and cytology contributed to the diagnosis of urinary bladder leiomyoma. Ultrasound detected a mass in the urinary bladder, and it was confi rmed by cystoscopy to be a 5 cm to 6 cm bladder mass on the anterior bladder wall. The mass was prolapsing as a ball valve into the urethra at the level of the bladder neck. Frozen section of the mass showed it to be leiomyoma.

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