LEIOMYOMA OF BLADDER - REPORT OF CASE AND REVIEW OF LITERATURE

We recently treated a patient with leiomyoma of the bladder and review ed the 37 most recent cases in the English language literature. Mean p atient age was forty-four years. Women made up 76 percent of the patie nts. Patients presented most commonly with obstructive urinary symptom s (49%), irritative symptoms (38%), hematuria (11%), or flank pain (13 %); 1 9 percent were asymptomatic. Almost all patients had cystoscopy (87%) and intravenous urograms (IVU) (81%), but fewer had masses on bi manual examination (57%), ultrasound (49%), or computed tomography (CT ) scan (35%). Most patients were treated with open resection (62%), wh ile 30 percent were treated with transurethral resection (TUR). Almost all patients were cured with a single procedure (89%). Leiomyoma of t he bladder is rare and readily cured with excision.