Transvesical laparoscopy for bladder leiomyoma excision: a novel surgical technique
Guido M Rey Valzacchi1, Lucila I Pavan2, Geronimo A Bourguignon2
1Department of Gynecology, Hospital Italiano of Buenos Aires, Potosí 4135, Zip Code 1199, Buenos Aires, Argentina. guido.rey@hospitalitaliano.org.ar.
International Urogynecology Journal
|October 16, 2020
Summary
Transvesical laparoscopy offers a viable surgical option for bladder leiomyoma excision. This minimally invasive technique is effective for removing these rare tumors, even those in challenging locations.
Area of Science:
- Urology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Bladder leiomyomas are rare benign tumors.
- Surgical options include transurethral resection or open abdominal surgery.
- Laparoscopic approaches are emerging as alternatives for complex cases.
Observation:
- A 45-year-old woman presented with a 40-mm submucosal bladder leiomyoma.
- The tumor was located at the interureteric ridge, posing a surgical challenge.
- A novel transvesical laparoscopic approach was employed for excision.
Findings:
- The transvesical laparoscopic approach facilitated complete resection of the bladder leiomyoma.
- No intra- or postoperative complications were observed.
- The patient remained asymptomatic at 60 months follow-up.
Implications:
- Transvesical laparoscopy is a feasible technique for bladder leiomyoma excision.
- This approach requires a small working space and proficiency in laparoscopic surgery.
- It offers a minimally invasive alternative for treating these rare bladder tumors.
