Cystoscopic Evaluation of Bladder Leiomyoma

We report the case of a 40-year-old woman with a history of uterine polyps and 3 months' worth of gross hematuria who was found to have a bladder mass on cystoscopy. Although this mass appeared benign visually, it demonstrated enhancement on axial imaging, with increased internal vascularity on Doppler ultrasound. A transurethral resection demonstrated bladder leiomyoma. This case increases the urologist's recognition of a well-described but previously underrepresented condition by showcasing its visual appearance on cystoscopy.