Uterine fibromyomata: Presentation and management in Northern Nigeria

Emembolu, J.O.

doi:10.1016/0020-7292(87)90349-3

Cited by 21 publications

(26 citation statements)

References 5 publications

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“…They are often symptomless; however heavy menstruation (38.4%), lower abdominal mass (35.9%) and infertility (34.3%) were the commonest complaint observed in this review. The incidence of abnormal uterine bleeding of 38.4% in this study is lower compared to 52.2% reported in Ilesa, Nigeria [7] [9]. The cause of the increased uterine bleeding is not always clear but have been variously been attributed to increased surface area and hyperplasia of endometrium, increased vascularity of the uterus, interstitial fibroid nodules that prevent myometrial contraction and functional ovaries often found in association with uterine fibroid [10].…”

Section: Discussioncontrasting

confidence: 51%

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A Five-Year Survey of Uterine Fibroids at a Nigerian Tertiary Hospital

Isah¹,

Adewole²,

Agida³

et al. 2018

OJOG

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Introduction: Uterine leiomyomas, commonly called fibroids are benign tumors of uterine myometrium composing of smooth muscle with variable amount of connective tissue and common gynecological problem among women of reproductive age. It is the commonest tumor of the female pelvic organ. Objective: To determine the incidence of uterine fibroids, socio-demographic, clinical characteristics and outcome of uterine leiomyoma management. (83.3%) had myomectomy, 23 (11.6%) had total abdominal hysterectomy and 9 (4.6%) myomectomy and tuboplasty. Anaemia 41 (20.7%) was the commonest morbidity, followed by wound infection 12 (6.1%) and wound dehiscence 4 (2.0%). No mortality was recorded during the period under review. Conclusion: Uterine fibroid is common in our environment and usually presents with menorrhagia, abdominal mass, infertility, pelvic pain, and re-

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Section: Discussioncontrasting

confidence: 51%

“…3% is higher than 27% reported in Jamaican women [20], but similar to 37.1% reported in Lokoja, Nigeria [6]. However, it is much lower than 87.2% reported by Emembolu in Zaria Nigeria [9]. There is a well-recognized association between fibroids and infertility.…”

Section: Discussioncontrasting

confidence: 51%

A Five-Year Survey of Uterine Fibroids at a Nigerian Tertiary Hospital

Isah¹,

Adewole²,

Agida³

et al. 2018

OJOG

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“…Vaginal approach is the procedure of choice for the obese women requiring hysterectomy [24,25,26]. Vaginal hysterectomy was taken to be more difficult for other indications because of severe pelvic adhesions frequently seen in Nigerian women requiring hysterectomy, low surgical experience and expertise, and reduced exposure of residents in surgical competence in virtually all the centres in Nigeria [27,28,29]. Complex anatomy of the pelvis and technical challenge contribute to a steep curve for inexperienced surgeons [30].…”

Section: Indicationsmentioning

confidence: 99%

Underexposure of Residents in Training in the Art of Vaginal Hysterectomy in Nigeria

Tc¹,

Ikeako²,

Ezenyeaku³

2014

AJCMR

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Worldwide, vaginal route is the gynaecologist's route of surgery. However, abdominal route is the favoured route of hysterectomy in Nigeria inspite of the advantages of vaginal route. This descriptive review is to awaken interest in the teaching and surgical exposure of residents in obstetrics and gynaecology in the field of vaginal surgeries. The ratio of vaginal hysterectomy to abdominal hysterectomy in Nigeria ranges from 1:4 to 1:9. The frequency of vaginal hysterectomy in centres in Nigeria ranges from 10-23%. These rates are lower than the figures quoted from the United States (25%), France (50%), Australia (40-50%) and Saudi Arabia (28%). Vaginal hysterectomy is under-utilized in Nigeria. Most centres hardly do up to five vaginal hysterectomies in a year. Residents in training hardly perform vaginal hysterectomy and may not have watched or assisted in up to ten vaginal hysterectomies before the residency programme is completed. This is completely inadequate for acquisition of proficiency. There is inadequacy and under exposure of residents in the art of vaginal surgeries in Nigeria. There is need for workshops, training and retraining of residents in the field of vaginal surgeries to meet these challenges. This would ensure production of quality gynaecologists with skills and proficiency in vaginal surgery.

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“…The peak age for the procedure was the fifth decade (40-49). Estimated age range is 31-60 years (5,8,(10)(11)(12). The average parity in our study was four with a range of 0-11.…”

Section: Discussionmentioning

confidence: 99%

“…22 incidental leiomyomata were also found in specimens removed for other reasons. Many studies in Nigeria and other parts of Africa have documented fibroid as the leading indication for hysterectomy in Black African Women (8)(9)(10)(11)13).…”

Section: Discussionmentioning

confidence: 99%

Clinico-pathological Assessment of Hysterectomies in Zaria

Adesiyun

Agunbiade

et al. 2009

ELECTRON J GEN MED

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Aim: To assess and compare accuracy of the clinical indications and histopathological diagnoses from hysterectomy specimens in Zaria. Methods The clinical indications comprised non-neoplastic-47 (14.8%) and neoplastic-226 (71.3%) causes. The commonest benign neoplastic indication was uterine fibroid 196 (61.8%). Malignant neoplastic indication included cervical cancer 12 (3.8%) and endometrial cancer 6 (1.9%). Cervical intraepithelial neoplasia (CIN), a preneoplastic lesion accounted for 44 (13.9%). Histopathological diagnosis of leiomyoma was made in 218 (68.8%), cervical cancer -20 (6.3%) and . Incidental pathologies seen included chronic patients were at variance with histological diagnosis. Conclusion:The clinical indication for hysterectomy and histopathological outcome are comparable in over 90% of cases. The commonest indication and histological finding in our setting is leiomyoma.

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Uterine fibromyomata: Presentation and management in Northern Nigeria

Cited by 21 publications

References 5 publications

A Five-Year Survey of Uterine Fibroids at a Nigerian Tertiary Hospital

A Five-Year Survey of Uterine Fibroids at a Nigerian Tertiary Hospital

Underexposure of Residents in Training in the Art of Vaginal Hysterectomy in Nigeria

Clinico-pathological Assessment of Hysterectomies in Zaria

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