[Acute urinary retention due to cervical myoma--a case report and a review of the literature].

CASE REPORT: A 48-year-old woman with acute urinary retention due to a big cervical leiomyoma pressing on the urethra was admitted to the Gynecologic Unit. A Foley catheterization was performed and 1500 mL of urine was drained. The gynecologic examination revealed a cervical tumor 10 cm in diameter. Acute urinary retention and intensifying abdominal pain were indications for emergency surgery. The presented case of obstructive urinary retention is a rare finding as the literature offers only single reports on the symptoms of cervical fibroids and the treatment methods.

CONCLUSIONS

Cervical leiomyoma is a rare cause of acute urinary retention. The surgical procedure requires considerable experience to avoid intraoperative bleeding and bladder or bowel complications.