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We report this case which mainly presented with acute urinary retention. The mass detected within her bladder by imaging and later biopsy confirmed was leiomyoma.
Despite it being so common, uterine leiomyoma is an extremely rare cause of acute urinary retention in women with just a handful of reported cases in the literature [5-8].
On basis of history and physical examination, she was suspected to be having acute urinary retention probably due to blockage of indwelling Foleys catheter.
These patients tend to be elderly with a mean age of 60 years)' Involvement of the prostate in lymphoma usually results in lower urinary' tract symptoms, and acute urinary retention. In addition, digital rectal examination may reveal an extremely enlarged prostate with a normal fibroelastic consistency.141 In our case, a moderately enlarged prostate was detected on digital rectal examination.
Management of acute urinary retention and urinary obstruction
In doing so they improve symptoms and urinary flow, and decrease the risks of acute urinary retention and the need for BPH related surgery.
Acute urinary retention: causes clinical features and patient care.
Acute urinary retention requiring catheterization was seen in 36 cases while 18 patients had symptoms suggestive of inguinal hernia but on examination had enlarged prostate.
Out of all the patients in this study, 9 patients (13.6%) presented with acute urinary retention and 57 patients (86.4%) presented with Lower Urinary Tract Symptoms (LUTS) and chronic urinary retention.
Serious medical complications can arise from untreated BPH, such as acute urinary retention, nephropathy, infections, and bladder stones.
The Reten-World survey of the management of acute urinary retention: preliminary results.
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