An Asymptomatic Intramural Leiomyoma of Bladder in Male Patient

Leiomyoma is one of common soft tissue tumors with smooth muscle origin. It is rarely in organs of the urinary system and commonly located in the bladder. Intramural localization of leimyoma at the bladder wall is seen rarely and constitutes 7% of all cases. We present a 55-year old male patient with asymptomatic intramural leiomyoma of bladder. The ultrasonographic examination revealed a mass at the right anterolateral aspect of the bladder wall. Subsequent computed tomography demonstrated well circumscribed soft tissue mass with same localization. The mass was resected completely by an open partial cystectomy, under spinal anesthesia. Histopathologically, the case was reported as leimyoma with no special features. The patient was asymptomatic during 25 months follow-up, without any features in control US in the 6th month.