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Related Concept Videos

Nursing Assessment of the Genitourinary System II: Inspection and Palpation01:26

Nursing Assessment of the Genitourinary System II: Inspection and Palpation

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The nursing assessment of the genitourinary (GU) system involves a systematic inspection and palpation to identify abnormalities in the kidneys, bladder, and surrounding structures.InspectionMouth: Inspect for signs of kidney dysfunction, such as stomatitis (inflammation of the mouth) and ammonia breath, which may occur in advanced kidney disease due to the buildup of urea, breaking down into ammonia.Skin: Check for pallor, which could indicate anemia caused by kidney disease. Look for...
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Urinary Bladder01:23

Urinary Bladder

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The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
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Urinary Tract Calculi V: Nursing Management01:28

Urinary Tract Calculi V: Nursing Management

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AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
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Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations01:26

Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations

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Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
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Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

16
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
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Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
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Bladder Leiomyoma presenting as urinary retention: A case report.

Jasmine Kashkoush1, Alyssa Park1

  • 1Department of Urology, Geisinger Medical Center, Danville, PA, USA.

Urology Case Reports
|October 24, 2022
PubMed
Summary

Bladder leiomyoma, a rare tumor, can cause urinary retention in women. Surgical resection is recommended for diagnosis and symptom relief, despite the tumor

Keywords:
Female urologyLeiomyomaRetention

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Area of Science:

  • Urology
  • Oncology
  • Pathology

Background:

  • Leiomyomas are rare bladder tumors, representing 0.43% of all bladder neoplasms.
  • Benign smooth muscle tumors can present with significant lower urinary tract symptoms.

Observation:

  • A 39-year-old female presented with acute urinary retention.
  • Imaging revealed a midline bladder neck mass.
  • Transurethral resection confirmed leiomyoma.

Findings:

  • Bladder leiomyoma diagnosis confirmed via histopathology.
  • Surgical resection is the standard for diagnosis and management.
  • Despite being benign, leiomyomas can cause severe obstructive symptoms.

Implications:

  • Early diagnosis and surgical intervention are crucial for managing symptomatic bladder leiomyomas.
  • Further research into the pathophysiology of bladder leiomyomas is warranted.
  • Understanding leiomyoma development may lead to novel therapeutic strategies.