Document Detail

Acute urinary retention caused by a uterine leiomyoma: a case report.
MedLine Citation:
PMID:  15018444     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Large uterine leiomyomas may cause acute urinary retention from bladder outlet obstruction. CASE: A 46-year-old, premenopausal, multiparous woman presented to a large, urban, university emergency department, where a diagnosis of acute urinary retention from uterine prolapse was made. An indwelling Foley catheter was placed. A week later the patient presented to an urogynecologist's office for evaluation of the prolapse and urinary retention. Physical examination showed an 18-20-week-sized uterus with a posterior lower uterine segment leiomyoma displacing the cervix anteriorly, causing bladder outlet obstruction, and no evidence of pelvic organ prolapse. The obstruction was relieved by total abdominal hysterectomy with bilateral salpingo-oophorectomy. CONCLUSION: A large uterine leiomyoma obstructed the bladder neck and presented as urinary retention.
Joseph M Novi; Alka Shaunik; Beth H K Mulvihill; Mark A Morgan
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  49     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  2004 Feb 
Date Detail:
Created Date:  2004-03-15     Completed Date:  2004-06-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  131-2     Citation Subset:  IM    
Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia 19104, USA.
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MeSH Terms
Acute Disease
Leiomyoma / complications*,  pathology,  surgery
Middle Aged
Time Factors
Treatment Outcome
Urinary Retention / etiology*,  pathology
Uterine Neoplasms / complications*,  pathology,  surgery

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