Dyspareunia: an unusual presentation of leiomyoma of the bladder

Abstract

Leiomyoma is a rare, benign tumor of the bladder. It frequently has an unusual presentation and its treatment options remain controversial. We describe a case of a leiomyoma of the bladder in a young female whose chief complaint was dyspareunia, and we review the management options.

Figure 1

CT scan of the pelvis with intravenous contrast. Note the filling defect on the right posterior wall of the bladder.

Fig 2

Cystoscopic view of the leiomyoma of the bladder. There was a 3 to 4 cm submucosal mass just proximal and lateral to the right ureteral orifice.

Fig 3

View of the bladder leiomyoma during open surgical excision. The mass was noted to be 2.5 to 3.0 cm, located just proximal and lateral to the right orifice.

Figure 4

H&E staining of the tumor. Note the interlacing fascicles of spindle cells with abundant eosinophilic cytoplasm and elongated nuclei with blunt ends. 100X.