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Abstract
Introduction/Background Leiomyomas are benign tumors of smooth muscle origin and are rarely found in the lower urinary tract. Removal is often technically challenging due to a location deep in the pelvis with difficult exposition.
Patients and methods: Data from five patients with leiomyoma of the lower urinary tract and treated via transurethral surgery in Notes-technique by using the minimal suturing device instruments.
Between May 2016 and October 2022, was analyzed retrospectively. Analysis included number, size and localization of the leiomyomas, symptoms, voiding function and complications. Preoperatively the diagnosis was confirmed by ultrasound guided biopsy.
Methodology Data from five patients with leiomyoma of the lower urinary tract and treated via transurethral surgery in Notes-technique by using the minimal suturing device instruments.
Between May 2016 and October 2022, was analyzed retrospectively. Analysis included number, size and localization of the leiomyomas, symptoms, voiding function and complications. Preoperatively the diagnosis was confirmed by ultrasound guided biopsy.
Results Patients presented with signs and symptoms including a palpable external genital mass, dysuria, urge urinary incontinence or dyspareunia. Usually physical examination revealed a non-tender mass, 1.2–2.8cm in diameter, with a smooth surface located above the urethra or bladderneck. The masses were sharply dissected and enucleated via transurethral bladderoscopy. No postoperative complications were found. Two weeks after the procedure, all patients had a normal voiding function. Terminal histopathological examination showed leiomyomas with fascicles with spindle-shaped cells without mitosis.
Conclusion In management of Leiomyomas of the lower urinary tract, a transvesical approach via bladderoscopy is a safe and feasible alternative to laparoscopic or transvaginal treatment. The prognosis is excellent since it has no risk of malignant transformation.
Disclosures No.
