Resolution of unilateral obstructive uropathy from a bladder adherent large exophytic cervical leiomyoma following selective inferior vesical artery embolization

Abstract

51-year old female with history of hysterectomy for fibroid uterus was diagnosed with an 12.3 cm exophytic leiomyoma arising from the cervix that was growing into the urinary bladder with chronic obstruction of the right ureteral orifice and resulting in reduced right kidney function to 14 %. With the goal of bladder preservation, she underwent trans-arterial embolization of the leiomyoma. There was resolution of the right hydroureteronephrosis by 12-months. At 3-year follow-up, the fibroid had continued to decrease in size with more than two-thirds of the mass non-viable, non-enhancing and right kidney function had increased to 24 % with no recurrent hydronephrosis.