Incidence, aetiology and epidemiology of uterine fibroids

Okolo, Stanley

doi:10.1016/j.bpobgyn.2008.04.002

Cited by 414 publications

(303 citation statements)

References 132 publications

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“…Leiomyoma appears clinically in 25% of women throughout their life. In a study done in 1990, the samples of hysterectomy were evaluated ; according to results, the incidence of leiomyoma was 33% based on clinical findings, 50% based on ultrasonic and 77% based on histological findings (2). One of the most common signs reported in women with leiomyoma is profuse menstrual bleeding.…”

Section: Introductionmentioning

confidence: 99%

Leiomyoma and Nutrition, a Case-Control Study

Bani¹,

Hasanpour²,

Solmaz³

et al. 2013

IJWHR

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Objectives: Uterine leiomyoma is one of the most common benign tumors of the uterus that causes so many problems for women such as uterine bleeding. Medical treatment of this disease is temporary so women may be compelied to hysterectomy that is definitive treatment of leiomyoma. Nowadays researches show that most of the diseases can be prevented by changing the life style. Researches emphasize the role of healthy nutrition in preventing the diseases, so the aim of this study is the comparison of nutrition in women with and without uterine leiomyoma in Tabriz 2012. Material and Methods: In this case-control study with convenience sampling, we selected 400 persons with eligibility criterion of research, 200 leiomyomato persons in case group and 200 persons without leiomyoma in control group that were matched in age and parity. After obtaining informed consent, the questionnaires which contain demographic and nutritional information were given to participants to complete. The data were analyzed by SPSS software (Ver. 13). Results: Results showed that the mean scores of the two groups in terms of nutrition were not statistically significant, but compared to the control group the mean scores of case group were higher (p>0.05). Conclusion: The results of this study indicated that the intake of beneficial nutrients was higher in control group and this may be associated with risk of leiomyoma, so encouraging people to modify their diet seems essential.

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Section: Introductionmentioning

confidence: 99%

Leiomyoma and Nutrition, a Case-Control Study

Bani¹,

Hasanpour²,

Solmaz³

et al. 2013

IJWHR

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“…In a study done by Okolo et al, they have found that the lifetime risk of developing fibroids in woman over the age of 45 years is more than 60%. 25 In a study done on Indian population by Diwakar et al, it was found that by 50 yrs of age the prevalence of fibroids is 50%. 26 In present study 64.45% women were from rural and 35.55% women were from urban population.…”

Section: Discussionmentioning

confidence: 99%

Demographic parameters of women with uterine fibroids presenting as abnormal uterine bleeding

Podder

Modak

Shivkumar

2018

Int J Reprod Contracept Obstet Gynecol

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Background: Uterine fibroids are commonest benign uterine tumors. Only about 25% women with fibroids are symptomatic. Around 70-80% are discovered incidentally during routine pelvic examination. Using ultrasonography screening, some authors have estimated a cumulative incidence of 70% in all women by age 50. Symptoms attributable to fibroids are mainly abnormal uterine bleeding (AUB), pelvic pressure, pain, and reproductive dysfunction. Heavy and/or prolonged menses is the typical bleeding pattern with myomas. Uterine fibroids are a leading cause of hysterectomy in perimenopausal women, thus, this study was done to find out its prevalence and demography in women presenting with AUB. The objectives of the present investigation were to find out the prevalence of uterine fibroid in women with AUB and to find out the various demographic features of womenMethods: The study was done for 2 years in the Dept of Obstetrics and Gynecology of a rural tertiary institute after taking clearance from institutional ethical committee. All the women presenting with AUB were included in the study. History and demographic features was enquired and entered in a predesigned proforma. All women were clinically examined after consent. Women with suspicion of fibroid were subjected to diagnostic modalities and the reports were followed and correlated.Results: Total 11,841 patients came to Gynaeological OPD during the study period. Out of these 3,878 (32.75%) presented with AUB, 2,126 were diagnosed as having fibroids after examination and investigations. Hence, the prevalence of fibroids amongst the women with AUB was 54.82% and 17.95% amongst all gynaecological patients. Maximum women were between 31-40 years, (64.78% rural and 62.73% urban). Majority were having parity between 1-2 (40.73% in urban, 38.96% in rural).Conclusions: Uterine fibroids are the commonest reason of AUB in reproductive age group with the prevalence of 54.82%. The trends in age incidence have remained the same over the years, commonly affecting women in third decade. There is no difference in incidence of fibroids amongst various socioeconomic classes.

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“…Dažniau miomos randamos vyresnėms nei 30 metų moterims ir rečiau aptinkamos jaunesnėms nei 20 metų, moterims menopauzės laikotarpiu. Taip pat dažniau diagnozuojamos juodaodėms negu azijietėms [4,5,6]. Klinikiniai simptomai -menoragija, metroragija, nevaisingumas, pilvo skausmas, spaudimo jausmas, antrinė mažakraujystė, pasikartojantys persileidimai, šlapimtakių obstrukcija -pasireiškia priklausomai nuo lejomiomos lokalizacijos ir dydžio, varijuojančio nuo kelių milimetrų iki keliolikos centimetrų [7] (1 pav.).…”

Section: įVadasunclassified

Sėkmingas 4 400 Gramų Svėrusio Gimdos Kūno Pašalinimas Laparoskopiniu Būdu – Pasiekimas, Vertas Guinnesso Rekordų Knygos? Klinikinis Atvejis

Mečėjus¹,

Mikėnas

Kavaliukaitė

2017

Medicinos Teorija Ir Praktika

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SANTRAUKAReikšminiai žodžiai: gimdos miomos, laparoskopija, subtotalinė histerektomija. Pristatome klinikinį atvejį 52 metų pacientės, kuri skubos tvarka kreipėsi dėl gausių, užsitęsusių, nereguliarių mėnesinių, bendro silpnumo. Atlikus transvaginalinę ir transabdominalinę echoskopiją nustatyta padidėjusi gimda su daugybiniais intramuraliniais miomų mazgais iki 8-12 cm dydžio, gimdos dugnas siekė kardinę ataugą. Dėl gausaus, ūminio kraujavimo diagnozuota ryški mažakraujystė (hemoglobino koncentracija 69 g/l). Atlikta gimdos kaklelio dilatacija ir kiuretažas kraujavimui stabdyti. Dėl gausaus kraujavimo ir žemos hemoglobino koncentracijos atlikta 3 eritrocitų masės vienetų transfuzija. Po 2 savaičių pacientė atvyko į stacionarą operaciniam gydymui. Jos hemoglobino lygis buvo 111 g/l. Įvertinus nusiskundimus, apžiūros duomenis, laboratorinių ir instrumentinių tyrimų rezultatus, sveikatos būklę, pacientės pageidavimus ir technines galimybes, numatyta gimdos šalinimo operacija laparoskopiniu būdu. Vereso adata įvesta ties bamba ir sudarytas pneumoperitoneumas. 10 mm troakaras optikai įvestas iš karto po kardine atauga. Įvesti 3 troakarai manipuliatoriams bambos lygyje: po vieną šonuose ir vienas ties bamba. Gimda užėmė beveik visą pilvo ertmę. Gimdos ir kiaušidžių kraujagyslės koaguliuotos naudojant bipolinį koaguliatorių, perkirptos aštriu būdu. Visas darbas vyko siauroje erdvėje gimdos šonuose, vienu metu naudojant du manipuliatorius: vieną ties bambą, kitą -šonuose atitinkamai dešinėje arba kairėje pusėse. Gimdos kūnas žirklėmis atjungtas nuo gimdos kaklelio ir susmulkintas naudojant laparoskopinį smulkintuvą. Pašalintos gimdos kūno preparatas svėrė 4 400 g, operacijos trukmė -5 valandos 35 minutės. Operacijos eiga sklandi, be komplikacijų. Po operacijos praėjus 18 valandų, pacientė išvyko iš stacionaro. Hemoglobino pokytis dėl operacijos buvo nežymus -nuo 111 g/l iki 103 g/l. Pacientės pooperacinis periodas sklandus, darbingumas atsistatė praėjus 7 dienoms po laparoskopinės operacijos. Išvados. Dideles gimdas su miomomis galima saugiai pašalinti laparoskopiniu būdu, taip iki minimumo sumažinant pacientės buvimo laiką stacionare ir greičiau grąžinant ją į įprastą socialinę aplinką. Šis pasiekimas pretenduoja į nepripažintą Guinnesso rekordą. ABSTRACTKey words: laparoscopy, hysterectomy, myoma. We represent the clinical case of 52 years patient who was admitted to the hospital due to heavy bleeding from vagina. Gynecological and ultrasound examination revealed a huge uterus with more than 20 myomas with size up to 10 cm. Fundus of the uterus was just below the xiphoid process. Hb level was 69 mg/ml. Emergency curettage was performed. Bleeding stopped. Blood transfusion of 3 units blood was performed. Patient was admitted to the hospital 2 weeks later after surgery. Hb level was 111 mg/ml. Decision was made to perform laparoscopy and, if it is possible, to perform subtotal hysterectomy. Gediminas Mečėjus

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Incidence, aetiology and epidemiology of uterine fibroids

Cited by 414 publications

References 132 publications

Leiomyoma and Nutrition, a Case-Control Study

Leiomyoma and Nutrition, a Case-Control Study

Demographic parameters of women with uterine fibroids presenting as abnormal uterine bleeding

Sėkmingas 4 400 Gramų Svėrusio Gimdos Kūno Pašalinimas Laparoskopiniu Būdu – Pasiekimas, Vertas Guinnesso Rekordų Knygos? Klinikinis Atvejis

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