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Case Reports
. 2020 Sep 28;4(1):10-13.
doi: 10.1002/iju5.12223. eCollection 2021 Jan.

Female detrusor underactivity: Two uterine leiomyoma cases

Ayami Shimizu  1 , Ryuji Sakakibara  2 , Maki Nakata  3 , Naoki Takeshita  4 , Akiko Takashima  1 , Yosuke Aiba  2 , Fuyuki Tateno  5 , Hiroyoshi Suzuki  5 , Masashi Yano  5
Affiliations
Case Reports

Female detrusor underactivity: Two uterine leiomyoma cases

Ayami Shimizu et al. IJU Case Rep. .

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.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Fig. 1
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
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
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.
See this image and copyright information in PMC

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