Management of uterine fibroids in Enugu, Nigeria

Authors: Okezie, O.; Ezegwui, H.

Source: Journal of Obstetrics & Gynaecology, Volume 26, Number 4, May 2006 , pp. 363-365(3)

Publisher: Informa Healthcare

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Abstract:

A 5-year review of management of uterine fibroids at the university of Nigeria Teaching Hospital Enugu revealed that symptomatic uterine fibroids constituted 9.8% of all gynaecological admissions. The peak incidence n  = 51 (26.8%) was in the age range of 31 – 35 years and the majority of the women n  = 77 (40.5%) were nulliparous. The main clinical features were lower abdominal discomfort, menorrhagia and associated infertility. There was no medical management. The surgical management consisted of myomectomy by laparotomy (60%); total abdominal hysterectomy (24.7%); total abdominal hysterectomy and bilateral salpingo-oophorectomy (12.1%), and polypectomy (3.2%). There was no endoscopic surgery available. Postoperative morbidity was high but there was no mortality. Uterine fibroids mostly managed by myomectomy at laparotomy remains a major public health problem in Enugu Nigeria.

Document Type: Research Article

DOI: http://dx.doi.org/10.1080/01443610600613573

Affiliations: Department of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital, Enugu, Nigeria

Publication date: May 1, 2006

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