{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T12:38:21Z","timestamp":1747226301673,"version":"3.40.5"},"reference-count":0,"publisher":"Care Comm","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ceska Gynekol"],"published-print":{"date-parts":[[2023,10,30]]},"abstract":"<jats:p>Summary: We present the case of a 47-year-old woman with a bulky, nascent necrotic myoma, which at first glance appeared to be a malignant process in the cervix. It caused significant retention of urine due to compression of the bladder and ureters, hydronephrosis and deterioration of renal function. A fully developed picture of the \u201cbulge syndrome\u201d dominated \u2013 lymphedema of the lower limbs and lower abdomen, pain in the lower abdomen, constipation, secondary secondary urinary infection, and paradoxical ischuria. During a gynecological examination in a specula, a strong-smelling, necrotic tumour was visualized reaching half of the vagina, which was causing a bloody discharge, which brought the patient to the examination. A biopsy was taken from the tumour. A permanent urinary catheter was inserted into the urinary bladder with gradual adjustment of renal functions. Due to the difficulties and the benign histological findings from the biopsy, a simple abdominal hysterectomy with bilateral salpingectomy from a lower midline incision was indicated. The operation was complicated by an extensive adhesive process and blood loss of 1,200 mL, with a decrease in hemoglobin in the blood count from 128 g\/L to 79 g\/L and the need for three blood transfusions. In the postoperative period, there is a prompt recovery of spontaneous micturition with normalization of bladder function, subsidence of lymphedema and subjective complaints of the patient.   Key words: myoma \u2013 bulky diseases \u2013 nascent uterine myoma \u2013 hysterectomy \u2013 urinary retention<\/jats:p>","DOI":"10.48095\/cccg2023372","type":"journal-article","created":{"date-parts":[[2023,11,14]],"date-time":"2023-11-14T12:14:04Z","timestamp":1699964044000},"page":"372-375","source":"Crossref","is-referenced-by-count":0,"title":["Nascent myoma as a cause of urinary retention"],"prefix":"10.48095","volume":"88","author":[{"name":"Gynecology and Obstetrics Department, AGEL Hospital Ostrava-V\u00edtkovice a.s.","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8110-3375","authenticated-orcid":false,"given":"Michaela","family":"Tomanov\u00e1","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9102-5075","authenticated-orcid":false,"given":"Ivana","family":"Semer\u00e1dov\u00e1","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivana","family":"Luk\u00e1\u010dov\u00e1","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"28151","published-online":{"date-parts":[[2023,10,30]]},"container-title":["\u010cesk\u00e1 gynekologie"],"original-title":["Nascent myoma as a cause of urinary retention"],"deposited":{"date-parts":[[2023,11,14]],"date-time":"2023-11-14T12:14:24Z","timestamp":1699964064000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cs-gynekologie.cz\/en\/journals\/czech-gynaecology\/2023-5-5\/nascent-myoma-as-a-cause-of-urinary-retention-135552"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,30]]},"references-count":0,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2023,10,30]]},"published-print":{"date-parts":[[2023,10,30]]}},"URL":"https:\/\/doi.org\/10.48095\/cccg2023372","relation":{},"ISSN":["1210-7832","1805-4455"],"issn-type":[{"type":"print","value":"1210-7832"},{"type":"electronic","value":"1805-4455"}],"subject":[],"published":{"date-parts":[[2023,10,30]]}}}