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Uterine Leiomyomata in South Western Nigeria: a clinical study of presentations and management outcome.
Afr Health Sci. 2011 Jun; 11(2):271-8.AH

Abstract

BACKGROUND

Uterine leiomyoma is remarkably common, however only a subset of women have their fibroids clinically detected, symptomatic, or warrant surgical treatment. Its removal is commonly associated with complications. To prevent or control the occurrence of this complication requires the understanding of the factors associated with the complications.

OBJECTIVE

To evaluate the sociodemographic, clinical characteristics, management outcome and its determinants in southwestern Nigeria.

METHODS

Study was carried out at two large tertiary hospitals in the south west region of Nigeria. Retrospective review of case records of all surgically managed cases of uterine leiomyoma over a period of 25 years. One hundred and fifty nine women with uterine leiomyoma seen and managed surgically in South-Western Nigeria were the participants.

RESULTS

The common presenting complaints were menstrual irregularities (47.7%), abdominal swelling (39.1%) and infertility (31.9%). The average uterine size at presentation was 15±9.7 weeks. The majority (79.9%) of the women presented with multiple leiomyomata. The commonest anatomical position of the nodules were multiple positions and intramural in 707(60.9%) and 172(14.8%) respectively. Myomectomy was performed in 54.7% of cases. Postoperative complications occurred in 20.9 % of cases with postoperative pyrexia (13.5%), blood loss warranting transfusion (12.8%) and postoperative anaemia (10.4%) been the most common complications.

CONCLUSION

Uterine fibroid is common in our environment and its removal is commonly associated with post-operative pyrexia, blood loss, and anaemia and wound infection. Midline incision, closure of rectus sheet with chromic catgut and myomectomy were associated with postoperative complications in this review.

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Authors+Show Affiliations

Okogbo FO
Dept. of Obstetrics & Gynaecology, Irrua Specialist Teaching Hospital, Edo State, Nigeria.
Ezechi OC
No affiliation info available
Loto OM
No affiliation info available
Ezeobi PM
No affiliation info available

MeSH

AdultAge DistributionFemaleHospitals, TeachingHumansHysterectomyLeiomyomaLength of StayMiddle AgedNigeriaParityPostoperative ComplicationsPrevalenceRetrospective StudiesSocioeconomic FactorsTreatment OutcomeUterine NeoplasmsYoung Adult

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21857861

Citation

Okogbo, F O., et al. "Uterine Leiomyomata in South Western Nigeria: a Clinical Study of Presentations and Management Outcome." African Health Sciences, vol. 11, no. 2, 2011, pp. 271-8.
Okogbo FO, Ezechi OC, Loto OM, et al. Uterine Leiomyomata in South Western Nigeria: a clinical study of presentations and management outcome. Afr Health Sci. 2011;11(2):271-8.
Okogbo, F. O., Ezechi, O. C., Loto, O. M., & Ezeobi, P. M. (2011). Uterine Leiomyomata in South Western Nigeria: a clinical study of presentations and management outcome. African Health Sciences, 11(2), 271-8.
Okogbo FO, et al. Uterine Leiomyomata in South Western Nigeria: a Clinical Study of Presentations and Management Outcome. Afr Health Sci. 2011;11(2):271-8. PubMed PMID: 21857861.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Uterine Leiomyomata in South Western Nigeria: a clinical study of presentations and management outcome. AU - Okogbo,F O, AU - Ezechi,O C, AU - Loto,O M, AU - Ezeobi,P M, PY - 2011/8/23/entrez PY - 2011/8/23/pubmed PY - 2011/10/29/medline KW - Leiomyomata KW - Uterine fibroid SP - 271 EP - 8 JF - African health sciences JO - Afr Health Sci VL - 11 IS - 2 N2 - BACKGROUND: Uterine leiomyoma is remarkably common, however only a subset of women have their fibroids clinically detected, symptomatic, or warrant surgical treatment. Its removal is commonly associated with complications. To prevent or control the occurrence of this complication requires the understanding of the factors associated with the complications. OBJECTIVE: To evaluate the sociodemographic, clinical characteristics, management outcome and its determinants in southwestern Nigeria. METHODS: Study was carried out at two large tertiary hospitals in the south west region of Nigeria. Retrospective review of case records of all surgically managed cases of uterine leiomyoma over a period of 25 years. One hundred and fifty nine women with uterine leiomyoma seen and managed surgically in South-Western Nigeria were the participants. RESULTS: The common presenting complaints were menstrual irregularities (47.7%), abdominal swelling (39.1%) and infertility (31.9%). The average uterine size at presentation was 15±9.7 weeks. The majority (79.9%) of the women presented with multiple leiomyomata. The commonest anatomical position of the nodules were multiple positions and intramural in 707(60.9%) and 172(14.8%) respectively. Myomectomy was performed in 54.7% of cases. Postoperative complications occurred in 20.9 % of cases with postoperative pyrexia (13.5%), blood loss warranting transfusion (12.8%) and postoperative anaemia (10.4%) been the most common complications. CONCLUSION: Uterine fibroid is common in our environment and its removal is commonly associated with post-operative pyrexia, blood loss, and anaemia and wound infection. Midline incision, closure of rectus sheet with chromic catgut and myomectomy were associated with postoperative complications in this review. SN - 1729-0503 UR - https://www.unboundmedicine.com/medline/citation/21857861/Uterine_Leiomyomata_in_South_Western_Nigeria:_a_clinical_study_of_presentations_and_management_outcome_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/21857861/ DB - PRIME DP - Unbound Medicine ER -