To explore the efficacy and safety of laparoscopic enucleation of subserosal bladder leiomyoma.

The clinical data of 8 patients with subserosal bladder leiomyoma (5 male and 3 female) from September 2010 to November 2016 were retrospectively analyzed. The age was 31-65 (mean 47±10) years. Clinical manifestation included irritative bladder 3 cases, hypogastralgia 2 cases and no clinical symptoms 3 cases. Ultrasonography and CT Urography (CTU) were performed in all 8 cases. The course of disease ranged from 1 week to 3 years (mean 21 months), Routine urines of all patients were normal.

Eight cases were treated with laparoscopic enucleation of bladder tumor that were enucleated completely. Rapid pathology showed leiomyoma. Postoperative pathology showed bladder leiomyoma. Seven patients were not sutured due to intact bladder mucosa, and there was no obvious postoperative complication. The operation time was 40~70 mins, with an average of (53±10) mins. The blood loss was 20-50 ml, with an average of (34±10) ml. No recurrence was found in 8 cases after operation follow-up of 3 to 12 months (mean 7.5 months) and no common complication was found in 8 cases such as urinary fistula.

Laparoscopic enucleation is a safe and effective surgical technique for treating subserosal bladder leiomyoma with excellent results.