Genitourinary symptoms and their effects on quality of life in women with uterine myomas

Ekin, Murat; Cengiz, Hüseyin; Öztürk, Emine; Kaya, Cihan; Yaşar, Levent; Savan, Kadir

doi:10.1007/s00192-013-2295-4

Cited by 19 publications

(13 citation statements)

References 13 publications

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“…Many conditions of the female reproductive tract can cause or worsen urinary symptoms. For example, women with a diagnosis of uterine fibroids (leiomyomas) report a high prevalence of urinary symptoms of 73‐76% . The exact relationship between fibroids and the bladder is poorly understood .…”

Section: Introductionmentioning

confidence: 99%

Fibroid surgery and improvement in bladder symptoms: The FAB study

Houlihan

Koenig

Friedman

et al. 2018

Neurourology and Urodynamics

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Section: Introductionmentioning

confidence: 99%

Fibroid surgery and improvement in bladder symptoms: The FAB study

Houlihan

Koenig

Friedman

et al. 2018

Neurourology and Urodynamics

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“…Moreover, women had more voiding dysfunction when the largest fibroids were anterior as compared to other locations. Ekin et al in a prospective study of 145 women with fibroids showed that fibroid size and anterior position were associated with worse LUTS [7]. In contrast, a recent study of 85 women, whilst confirming a positive association between fibroid volume and LUTS scores, did not find any significant impact of fibroid position [16].…”

Section: Fibroid Size and Positionmentioning

confidence: 88%

“…The most common LUTS in women with uterine fibroids are urinary urgency, increased daytime frequency and nocturia [6]. Urgency urinary incontinence (UUI), stress urinary incontinence (SUI) and voiding difficulties have also been shown to be more common in women with fibroids [7,8]. Obstructive uropathy of the upper urinary tract and subsequent recurrent urinary tract infections and renal damage might also occur in the case of large fibroid uteri [9].…”

Section: Introductionmentioning

confidence: 98%

Management of Urinary Symptoms Associated with Fibroids

Kleanthis

Zacchè

Giarenis

2016

Curr Obstet Gynecol Rep

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Uterine fibroids are the most common benign tumours in women of reproductive age. Fibroids are linked with a variety of lower urinary tract symptoms (LUTS). Direct pressure on the bladder, but also vascular, neurogenic and hormonal changes have been proposed as underlying pathophysiological mechanisms. There is conflicting evidence in the literature regarding the association between LUTS and fibroid volume and position. Conservative management with bladder retraining, supervised pelvic floor muscle training with or without drug therapy might be used as first line. In the presence of persistent symptoms, conventional urodynamics or ideally videourodynamics might be considered before more invasive treatment. Counselling of patients prior to uterine artery embolisation, myomectomy or hysterectomy could be challenging, as it is difficult to estimate the effect of fibroid reduction or removal on LUTS.

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“…When asked about their symptoms in the last 12 months, over half (50.6%) of women with myoma uteri reported a negative impact on their daily life [2] . Moreover, women with myoma uteri have significantly higher frequency of genitourinary symptoms including stress urinary incontinence, mixed urinary incontinence, urgency, daytime frequency, and dyspareunia [3] .…”

Section: Introductionmentioning

confidence: 99%

Single-port laparoscopic myomectomy in the virgin womb - a retrospective analysis of 31 consecutive cases

Tang¹

2020

MIS

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How to cite this article: Tang FH. Single-port laparoscopic myomectomy in the virgin womb -a retrospective analysis of 31 consecutive cases. Mini-invasive Surg 2020;4:24. http://dx. AbstractAim: We aimed to evaluate the feasibility of single-port laparoscopic myomectomy in the virgin womb. Methods:A retrospective chart review of 31 consecutive cases between November 2017 and October 2019 performed by a single surgeon was performed. Results:The mean age of patient was 50.10 ± 7.79 years old. The mean BMI was 23.55 ± 4.36 kg/m 2 . The mean number of myoma in single patient was 3.84 ± 2.45 pieces. The mean maximum diameter of myoma in single patient was 11.24 ± 3.27 cm. The mean operation time was 182.32 ± 52.39 min. The mean blood loss was 231.77 ± 238.90 mL. The Visual Analogue Score (VAS) of pain when immediately arriving at the ward after operation was 2.32 ± 1.60. The VAS after 24 h dropped to 1.23 ± 1.43. In total, 119 myomas were removed in our study. There were 15 (48.4%) women with more than four myomas. Fifteen (48.4%) women had more than two myomas that were > 5 cm. There were 58 (48.74%) intramural myomas, with mean diameter of 6.72 ± 4.41 cm. Fifty-two (43.70%) subserous type myoma were removed with mean diameter 2.58 ± 3.35 cm. Posterior myoma accounted for five (4.20%) pieces with mean diameter of 9.30 ± 4.49 cm. The broad ligament type myoma accounted for four pieces (3.36%), and the mean diameter was 3.74 ± 1.87 cm. There were 51 (42.9%) myomas > 5 cm in diameter. Among the different types of myoma, there were 36 (62.1%) intramural type and 6 (11.5%) subserous type, and all posterior and broad ligament type were > 5 cm in diameter. The blood loss and operation time showed no relationship to myoma number. There were differences in blood loss (P = 0.0359) and operation time (P = 0.0537) based on the maximum diameter of myoma. No learning curve was noted in the cumulative sum control chart analysis of the 31 consecutive cases. Conclusion:In our 31 consecutive cases, the operation time, blood loss, and postoperative VAS score were all comparable to the previously published literature for single-port laparoscopic myomectomy. It is feasible for virgin women with symptomatic myoma to receive single-port laparoscopic myomectomy.

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Genitourinary symptoms and their effects on quality of life in women with uterine myomas

Abstract: Urinary tract dysfunction is associated with anterior myomas, increasing in association with myoma size, and significantly affects QOL.

Cited by 19 publications

References 13 publications

Fibroid surgery and improvement in bladder symptoms: The FAB study

Fibroid surgery and improvement in bladder symptoms: The FAB study

Management of Urinary Symptoms Associated with Fibroids

Single-port laparoscopic myomectomy in the virgin womb - a retrospective analysis of 31 consecutive cases

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