Skip to main content

Transvesical laparoscopy for bladder leiomyoma excision: a novel surgical technique

Abstract

Introduction and hypothesis

Leiomyomas of the urinary bladder are rare tumors. Submucosal leiomyomas, when small and easily accessible, can be treated with transurethral resection, while unfavorably positioned or larger leiomyomas may be treated through an abdominal approach. In these cases, a laparoscopic approach for intravesical surgery is an alternative that may be considered. We aim to demonstrate a novel transvesical laparoscopic approach to bladder leiomyoma excision with a video.

Methods

A 45-year-old woman with urinary symptoms and a 40-mm submucosal bladder leiomyoma located at the interureteric ridge was referred to our hospital (tertiary referral hospital). Due to the location and size of the leiomyoma, and to increase the probability of complete resection, a transvesical laparoscopic approach was decided. A step-by-step video is presented to describe the surgical technique.

Results

There were no intra- or postoperative complications. The patient was discharged 48 h after the surgery. At 60 months’ follow-up, the patient remains asymptomatic.

Conclusions

Transvesical laparoscopy may be considered for excision of bladder leiomyomas. This approach is feasible for trained surgeons as it requires a small working space.

This is a preview of subscription content, access via your institution.

References

  1. 1.

    Khater N, Sakr G. Bladder leiomyoma: presentation, evaluation and treatment. Arab J Urol. 2013;11(1):54–61.

    Article  Google Scholar 

  2. 2.

    Wong-You–Cheong J, Woodward P, Manning M, Sesterhenn I. Neoplasms of the urinary bladder: radiologic-pathologic correlation. RadioGraphics. 2006;26(2):553–80.

    Article  Google Scholar 

  3. 3.

    Goluboff ET, O’Toole K, Sawczuk IS. Leiomyoma of bladder: report of case and review of literature. Urology. 1994;43(2):238–41.

    CAS  Article  Google Scholar 

  4. 4.

    Tae B, Choi H, Park J, Bae J. Laparoscopic approach for Intravesical surgery using Pneumovesicum in urology: literature review. Int Neurourol J. 2018;22(Suppl 1):S10–22.

    Article  Google Scholar 

  5. 5.

    Ansari MS, Yadav P, Arora S, Singh P, et al. Bilateral Transvesicoscopic cross-trigonal ureteric Reimplantation in children: surgical subtleties and a prospective summary. Urology. 2017;101:67–72.

    Article  Google Scholar 

Download references

Author information

Affiliations

Authors

Corresponding author

Correspondence to Guido M. Rey Valzacchi.

Ethics declarations

Consent

Written informed consent was obtained from the patient for publication of this video article and any accompanying images.

Conflicts of interest

The authors declare that they have no conflicts of interest and nothing to disclose.

A portion of this study was presented in the International Urogynecology Association (IUGA) annual meeting in 2014 and at the AAGL Global Congress in 2016.

Approval was obtained from the hospital ethics committee.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Electronic supplementary material

ESM 1

(MP4 57583 kb)

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Rey Valzacchi, G.M., Pavan, L.I., Bourguignon, G.A. et al. Transvesical laparoscopy for bladder leiomyoma excision: a novel surgical technique. Int Urogynecol J 32, 2543–2544 (2021). https://doi.org/10.1007/s00192-020-04557-1

Download citation

Keywords

  • Laparoscopic surgery
  • Myoma
  • Pneumovesicum