Uterine Fibroid as a Contributory Factor in Recurrent Urinary Tract Infection: A Case Report with Review of Unani Literature

Uterine fibroids (leiomyomata uteri) are among the most prevalent benign pelvic tumours affecting women of reproductive age. While their classical presentations include menorrhagia, pelvic pain and pressure symptoms, their role as a mechanical precipitant of recurrent urinary tract infections (UTIs) remains under-recognised. We present the case of Ms. Asiya, a 22-year-old female registered at Ajmal Khan Tibbiya College Hospital, Aligarh Muslim University, Aligarh (Registration No. 2026000817, Date: 18/02/2026) under the care of Dr. Fahmeeda Zeenat, MS, who presented with recurrent lower urinary tract symptoms. Clinical and sonographic evaluation identified an anterior intramural uterine fibroid exerting compressive effects on the urinary bladder as the underlying aetiology. The present report also undertakes a dedicated review of Unani classical literature pertaining to Warme Reham (uterine tumour), Ihtibas al-Bawl (urinary retention/obstruction) and Su'al al-Bawl (urinary frequency), the concept of Sue Mizaj (dyscrasia), relevant Unani drugs with mudir-e-bawl (diuretic), muhallil-e-waram (anti-inflammatory/anti-tumour) and qabiz (astringent/haemostatic) properties, and the classical formulations applicable to this clinical scenario. The case underscores the importance of gynaecological evaluation in young women with recurrent UTIs and demonstrates the complementary value of Unani medicine in their comprehensive management.

Uterine fibroid; Warme Reham; Recurrent UTI; Su’al al-Bawl; Ihtibas al-Bawl; Unani medicine; Leiomyoma; Bladder compression; Sue Mizaj; Mudir-e-Bawl.

1. Baird DD, Dunson DB, Hill MC, et al. High cumulative incidence of uterine leiomyoma in black and white women: ultrasound evidence. Am J Obstet Gynecol. 2003;188(1):100-7. [Google Scholar] [Crossref]

2. Majoosi AA. Kamil al-Sana’a (Urdu translation by Ghulam Hussain Kantoori). Vol I. Lucknow: Munshi Nawal Kishore; 1889:156-164, 306, 531. [Google Scholar] [Crossref]

3. Hooton TM. Recurrent urinary tract infection in women. Int J Antimicrob Agents. 2001;17(4):259-68. [Google Scholar] [Crossref]

4. Lippman SA, Warner M, Samuels S, et al. Uterine fibroids and gynecologic pain symptoms in a population-based study. Fertil Steril. 2003;80(6):1488-94. [Google Scholar] [Crossref]

5. Laughlin-Tommaso SK. Alternatives to hysterectomy: management of uterine fibroids. Obstet Gynecol Clin North Am. 2016;43(3):397-413. [Google Scholar] [Crossref]

6. Ibn Sina. Al-Qanoon Fil Tib (Urdu trans. Ghulam Hussain Kantoori). Vol II. New Delhi: Idarae Kitabul Shifa; 2007:323-324. [Google Scholar] [Crossref]

7. Jurjani I. Zakhira-e-Khwarazm Shahi (Urdu translation by Khan HH). Lucknow: Munshi Nawal Kishore; 1883;6:623-24. [Google Scholar] [Crossref]

8. Kabeeruddin M. Ifadae Kabeer. New Delhi: Qoami Council Barae Farogh Urdu Zaban; 2001:100, 169-170. [Google Scholar] [Crossref]

9. Ibn Rushd. Kitab al-Kulliyat. 2nd ed. New Delhi: CCRUM; 1987:31, 56, 113-116, 124. [Google Scholar] [Crossref]

10. Razi AMZ. Kitab Al-Hawi fi al-Tibb (Urdu translation by CCRUM). New Delhi: CCRUM; 2001;10(9):120-150. [Google Scholar] [Crossref]

11. Ghani N. Khazainul Advia. Lucknow: Munshi Naval Kishore Press; 1971:218-220, 1175-1176. [Google Scholar] [Crossref]

12. Gbotolorun SC, Osinubi AA, Noronha CC, Okanlawon AO. Antifertility potential of Neem flower extract on adult female Sprague-Dawley rats. African Health Science. 2008;8(3):168-173. [Google Scholar] [Crossref]

13. Vasudeva N, Sharma SK. Post coital antifertility activity of Hibiscus rosa sinensis Linn. roots. Evid Based Complement Alternat Med. 2008;5(1):91-94. [Google Scholar] [Crossref]

14. Razzak AM, Fazal U. The concept of birth control in Unani medicine. New Delhi: CCRUM; 1993:3-17, 51-64. [Google Scholar] [Crossref]

15. Ahmed SI. Introduction to Al-Umur Al-Tabiyah. 1st ed. New Delhi: Saini Printers; 1980:162-188. [Google Scholar] [Crossref]

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