子宮筋腫による尿閉に対し全腹腔鏡下子宮全摘出術を行った1症例

抄録

  Urinary retention is rare in women with uterine myoma. Although long-term urinary retention can cause irreversible injury to the urinary tract, no standard strategies have been established for optimal management of this complication. We present a case of uterine myoma associated with urinary retention in a woman who was successfully treated by laparoscopic hysterectomy performed during the subacute phase of this condition.

  A 43-year-old gravida 1, para 1 presented with urinary retention. Pelvic magnetic resonance imaging revealed a myoma located in the upper portion of the posterior uterine wall with a longer diameter of 11.5 cm. The uterine cervix and lower portion of the bladder were displaced anteriorly secondary to the tumor. These findings and the patient's history of her illness suggested that urinary retention was caused by the uterine myoma. Total laparoscopic hysterectomy was performed after 2 months of conservative management. Postoperatively, urination promptly improved without any disturbance of bladder function. Urinary retention caused by uterine myoma without any underlying illness should be considered an indication for surgical treatment.