Management of Bladder Leiomyomas
Summary
Bladder leiomyomas are rare benign smooth muscle tumours accounting for under 0.5 % of bladder neoplasms. They present with irritative or obstructive lower urinary tract symptoms, haematuria or may be discovered incidentally. Management centres on accurate diagnosis with ultrasound, CT or MRI and cystoscopic assessment. Small endovesical lesions are typically treated by transurethral resection of bladder tumour (TURBT), offering definitive excision with low recurrence. Larger, intramural or extravesical masses often require partial cystectomy, which may be performed via open, laparoscopic or robotic techniques. Minimally invasive approaches aim to preserve bladder function, reduce morbidity and shorten hospital stay. Long-term outcomes are excellent, with malignant transformation virtually unreported and recurrence infrequent after complete excision.
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Management of Bladder Leiomyomas publication trend
The graph below shows the total number of articles in management of bladder leiomyomas across all publications each year (not limited to Nature Index journals).
Technical terms
Leiomyoma: A benign tumour composed of smooth muscle cells.
Endovesical: Projecting into the bladder lumen.
Intramural: Embedded within the bladder wall musculature.
Extravesical: Extending beyond the outer bladder wall.
Transurethral resection of bladder tumour (TURBT): Endoscopic removal of bladder lesions via the urethra.
Partial cystectomy: Surgical excision of a bladder segment containing the tumour.
Enucleation: Dissection and removal of a mass without opening the bladder mucosa.
References
- A Rare Case of Urinary Bladder Leiomyoma Invading Urachal Remnant Managed With Robotic Partial Cystectomy. Cureus (2024).
- Laparoscopic Enucleation of an Extravesical Bladder Leiomyoma: A Case Report. African Journal of Urology (2024).
- Bladder leiomyoma treated with transurethral resection of bladder tumor (TURBT): Case report. International Journal of Surgery Case Reports (2022).
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