Work

Resolution of unilateral obstructive uropathy from a bladder adherent large exophytic cervical leiomyoma following selective inferior vesical artery embolization

Year: 2025

Type: article

Abstract: 51-year old female with history of hysterectomy for fibroid uterus was diagnosed with an 12.3 cm exophytic leiomyoma arising from the cervix that was growing into the urinary bladder with chronic obstruction of the right ureteral orifice and resulting in reduced right kidney function to 14 %. With the goal of bladder preservation, she underwent trans-arterial embolization of the leiomyoma. There was resolution of the right hydroureteronephrosis by 12-months. At 3-year follow-up, the fibroid had continued to decrease in size with more than two-thirds of the mass non-viable, non-enhancing and right kidney function had increased to 24 % with no recurrent hydronephrosis.

Source: Urology Case Reports

DOI: 10.1016/j.eucr.2025.103174

Authors: Sydney Whalen, R. Jeffrey Karnes, Scott M. Thompson

Institutions: University of Illinois Chicago, Mayo Clinic

Language: English

Topic: Uterine Myomas and Treatments

Subfield: Obstetrics and Gynecology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,160