Female detrusor underactivity: Two uterine leiomyoma cases

Abstract

Introduction: Female urinary retention is rare.

Case presentation: Case 1, a 35-year-old nulliparous woman, and case 2, a 47-year-old nulliparous woman, had transient urinary retention. A urodynamics revealed increased bladder sensation in case 1 and detrusor underactivity with a large post-void residual in cases 1 and 2. Both women had a uterine leiomyoma of >10 cm in diameter. Soon after extraction of the tumor, retention episodes disappeared completely in case 1.

Conclusion: Although rare, uterine leiomyoma should be listed as a cause of female detrusor underactivity.

Keywords: detrusor underactivity; leiomyoma; urinary retention; urodynamics; uterus.

Fig. 1

Abdominal MRI of case 1. An MRI scan revealed a UL 13 cm in diameter. Although the pelvic plexus itself could not be visualized, the size and the posterior‐base location of the tumor was thought to compress the pelvic plexus in this patient.

Fig. 2

Urodynamic recording of case 1. (a) Initial urodynamic test: After evacuation, we started infusing saline into the bladder. The patient reported the first sensation at 29 mL (100 mL

Fig. 3

Abdominal MRI of case 2. An MRI scan revealed a UL 10 cm in diameter. Although the pelvic plexus itself could not be visualized, the size and the posterior‐base location of the tumor was thought to compress the pelvic plexus in this patient.