Two cases of cervical cancer presenting with overactive bladder symptoms Kumiko Kato 1 , Shoji Suzuki 1 , Katsuhiko Hiromura 2 , Kimio Mizuno 2 , Koichi Suzuki 3 , Ryohei Hattori 3 1Department of Female Urology, Japanese Red Cross Nagoya First Hospital 2Department of Obstetrics and Gynecology, Japan Red Cross Nagoya First Hospital 3Department of Urology, Japanese Red Cross Nagoya First Hospital Keyword: 子宮頸癌 , 過活動膀胱 pp.885-889
Published Date 2012/10/20
DOI https://doi.org/10.11477/mf.1413102935
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Case 1:A 76-year-old woman visited a local general hospital complaining of urinary frequency and“macroscopic hematuria”. Detailed examination of the urinary tract showed no abnormal findings, and antichorinergic drugs for overactive bladder were prescribed. Two years later, she was referred to our department due to aggravated urinary incontinence. Cystoscope revealed massive elevation of the posterior vesical wall. Vaginal examination revealed an easily-bleeding mass(11 cm in the longest diameter)in the uterine cervix. Case 2:A 67-year-old woman suffering from mixed incontinence and urinary frequency was prescribed anticholinergic drugs for six months. She was then referred to our department and underwent CT scan to evaluate continuous pyuria and microscopic hematuria. An intrapelvic mass, 9 cm in the longest diameter was found. Both patients were diagnosed as stage Ⅲb cervical cancer, and their lower urinary tract symptoms disappeared after concurrent chemoradiation. An intrapelvic mass, including cervical cancer, must not be overlooked in patients with intractable overactive bladder symptoms.

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