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Leiomyoma of the Prostate Treated via Holmium Laser Enucleation: A Case Report and Literature Review

Leiomyoma is a rare tumor that arises from mesenchymal cells, with few reported cases of treatment using holmium laser enucleation of the prostate. A 74-year-old man with dysuria had a mass near the bladder neck in magnetic resonance imaging; this entity was suspected to be a leiomyoma. The patient...

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Autores principales: Sano, Masayuki, Narimoto, Kazutaka, Shimbo, Masaki, Hattori, Kazunori, Endo, Fumiyasu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10576844/
https://www.ncbi.nlm.nih.gov/pubmed/37846242
http://dx.doi.org/10.7759/cureus.45273
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author Sano, Masayuki
Narimoto, Kazutaka
Shimbo, Masaki
Hattori, Kazunori
Endo, Fumiyasu
author_facet Sano, Masayuki
Narimoto, Kazutaka
Shimbo, Masaki
Hattori, Kazunori
Endo, Fumiyasu
author_sort Sano, Masayuki
collection PubMed
description Leiomyoma is a rare tumor that arises from mesenchymal cells, with few reported cases of treatment using holmium laser enucleation of the prostate. A 74-year-old man with dysuria had a mass near the bladder neck in magnetic resonance imaging; this entity was suspected to be a leiomyoma. The patient underwent holmium laser enucleation of the prostate and one lobe was removed. However, the mass was firm and morcellation was difficult to break into small pieces. Therefore, it was fragmented via trans-urethral resection and removed with a curette. The postoperative course was favorable, with a positive clinical outcome. This case highlights the efficacy of holmium laser enucleation of the prostate in the management of prostatic leiomyoma and emphasizes its importance as a viable treatment option.
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spelling pubmed-105768442023-10-16 Leiomyoma of the Prostate Treated via Holmium Laser Enucleation: A Case Report and Literature Review Sano, Masayuki Narimoto, Kazutaka Shimbo, Masaki Hattori, Kazunori Endo, Fumiyasu Cureus Urology Leiomyoma is a rare tumor that arises from mesenchymal cells, with few reported cases of treatment using holmium laser enucleation of the prostate. A 74-year-old man with dysuria had a mass near the bladder neck in magnetic resonance imaging; this entity was suspected to be a leiomyoma. The patient underwent holmium laser enucleation of the prostate and one lobe was removed. However, the mass was firm and morcellation was difficult to break into small pieces. Therefore, it was fragmented via trans-urethral resection and removed with a curette. The postoperative course was favorable, with a positive clinical outcome. This case highlights the efficacy of holmium laser enucleation of the prostate in the management of prostatic leiomyoma and emphasizes its importance as a viable treatment option. Cureus 2023-09-14 /pmc/articles/PMC10576844/ /pubmed/37846242 http://dx.doi.org/10.7759/cureus.45273 Text en Copyright © 2023, Sano et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Urology
Sano, Masayuki
Narimoto, Kazutaka
Shimbo, Masaki
Hattori, Kazunori
Endo, Fumiyasu
Leiomyoma of the Prostate Treated via Holmium Laser Enucleation: A Case Report and Literature Review
title Leiomyoma of the Prostate Treated via Holmium Laser Enucleation: A Case Report and Literature Review
title_full Leiomyoma of the Prostate Treated via Holmium Laser Enucleation: A Case Report and Literature Review
title_fullStr Leiomyoma of the Prostate Treated via Holmium Laser Enucleation: A Case Report and Literature Review
title_full_unstemmed Leiomyoma of the Prostate Treated via Holmium Laser Enucleation: A Case Report and Literature Review
title_short Leiomyoma of the Prostate Treated via Holmium Laser Enucleation: A Case Report and Literature Review
title_sort leiomyoma of the prostate treated via holmium laser enucleation: a case report and literature review
topic Urology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10576844/
https://www.ncbi.nlm.nih.gov/pubmed/37846242
http://dx.doi.org/10.7759/cureus.45273
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