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Acute urinary retention caused by a uterine leiomyoma: a case report.
J Reprod Med. 2004 Feb; 49(2):131-2.JR

Abstract

BACKGROUND

Large uterine leiomyomas may cause acute urinary retention from bladder outlet obstruction.

CASE

A 46-year-old, premenopausal, multiparous woman presented to a large, urban, university emergency department, where a diagnosis of acute urinary retention from uterine prolapse was made. An indwelling Foley catheter was placed. A week later the patient presented to an urogynecologist's office for evaluation of the prolapse and urinary retention. Physical examination showed an 18-20-week-sized uterus with a posterior lower uterine segment leiomyoma displacing the cervix anteriorly, causing bladder outlet obstruction, and no evidence of pelvic organ prolapse. The obstruction was relieved by total abdominal hysterectomy with bilateral salpingo-oophorectomy.

CONCLUSION

A large uterine leiomyoma obstructed the bladder neck and presented as urinary retention.

Authors+Show Affiliations

Novi JM
Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia 19104, USA. jnovi@obgyn.upenn.edu
Shaunik A
No affiliation info available
Mulvihill BH
No affiliation info available
Morgan MA
No affiliation info available

MeSH

Acute DiseaseFemaleHumansHysterectomyLeiomyomaMiddle AgedTime FactorsTreatment OutcomeUrinary RetentionUterine Neoplasms

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

15018444

Citation

Novi, Joseph M., et al. "Acute Urinary Retention Caused By a Uterine Leiomyoma: a Case Report." The Journal of Reproductive Medicine, vol. 49, no. 2, 2004, pp. 131-2.
Novi JM, Shaunik A, Mulvihill BH, et al. Acute urinary retention caused by a uterine leiomyoma: a case report. J Reprod Med. 2004;49(2):131-2.
Novi, J. M., Shaunik, A., Mulvihill, B. H., & Morgan, M. A. (2004). Acute urinary retention caused by a uterine leiomyoma: a case report. The Journal of Reproductive Medicine, 49(2), 131-2.
Novi JM, et al. Acute Urinary Retention Caused By a Uterine Leiomyoma: a Case Report. J Reprod Med. 2004;49(2):131-2. PubMed PMID: 15018444.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acute urinary retention caused by a uterine leiomyoma: a case report. AU - Novi,Joseph M, AU - Shaunik,Alka, AU - Mulvihill,Beth H K, AU - Morgan,Mark A, PY - 2004/3/17/pubmed PY - 2004/6/21/medline PY - 2004/3/17/entrez SP - 131 EP - 2 JF - The Journal of reproductive medicine JO - J Reprod Med VL - 49 IS - 2 N2 - BACKGROUND: Large uterine leiomyomas may cause acute urinary retention from bladder outlet obstruction. CASE: A 46-year-old, premenopausal, multiparous woman presented to a large, urban, university emergency department, where a diagnosis of acute urinary retention from uterine prolapse was made. An indwelling Foley catheter was placed. A week later the patient presented to an urogynecologist's office for evaluation of the prolapse and urinary retention. Physical examination showed an 18-20-week-sized uterus with a posterior lower uterine segment leiomyoma displacing the cervix anteriorly, causing bladder outlet obstruction, and no evidence of pelvic organ prolapse. The obstruction was relieved by total abdominal hysterectomy with bilateral salpingo-oophorectomy. CONCLUSION: A large uterine leiomyoma obstructed the bladder neck and presented as urinary retention. SN - 0024-7758 UR - https://www.unboundmedicine.com/medline/citation/15018444/Acute_urinary_retention_caused_by_a_uterine_leiomyoma:_a_case_report_ DB - PRIME DP - Unbound Medicine ER -