Myoma Uteri

myomauteri-1-0-25kapak

Myoma Uteri and Urinary Incontinence

Gülcan Kocaoğlu¹
Gülin Feykan Yeğin2

1Ankara Etlik City Hospital, Department of Gynecology and Obstetric, Ankara, Türkiye
2Ankara Etlik City Hospital, Department of Gynecology and Obstetric, Ankara, Türkiye

Kocaoğlu G, Feykan Yeğin G. Myoma Uteri and Urinary Incontinence. Yavuz AF, ed. Myoma Uteri. 1st ed. Ankara: Türkiye Klinikleri; 2025. p.197-203.

ABSTRACT

Various types of urinary symptoms involved with fibroids, including urinary incontinence or dysuria, have been reported. Their prevalence is not well knowed and these symptoms are uncommonly researched in patients. Although fibroids are the primary reason for hysterectomies, there are few studies evaluating surgical treatment of fibroids in women with urinary symptoms.

Women who have uterine fibroids, different prevalence of urinary symptoms in varies significantly depending on whether the authors focus on symptoms or urodynamic outcomes. Urinary symptoms; dysuria (4-36%), urgency (31-59%), and stress urinary incontinence (SUI, 20-80%) are the most reported ones. While some studies have identified anterior fibroid location and fibroids larger than 5 cm as risk factors for SUI, other studies have found no correlation between fibroid topography and symptom scores.

It appears that the treatment of uterine fibroids affects urinary symptoms. Though hysterectomy is a most common cause of pelvic floor disorders, it can sometimes alleviate or treat urinary symptoms. Most authors also report a considerable recuperation in urinary symptoms following myomectomy and fibroid embolization. Further studies are required to lighten the effect of fibroid treatment on urinary symptoms.

Keywords: Leiomyoma; Fibroid; Urinary incontinence; Lower urinary tract symptoms

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