Uterine fibroids: a ten-year clinical review in Ilorin, Nigeria.
A retrospective study to determine the incidence, clinical presentation and management of uterine fibromyoma at the University of Ilorin Teaching Hospital, Ilorin, Nigeria. Five hundred and sixty-nine consecutive cases of histologically confirmed uterine fibroid over a ten-year period were reviewed. Uterine fibromyoma constituted 13.4% of gynaecological admission and was responsible for 26.2% of major gynaecological surgery. Majority of the patients (78.4%) were aged between 30 and 44 years and 60.8% were of low parity (0-2). The common presentations were menstrual disorders (64.3%), infertility (56.2%) and lower abdominal swelling (35.5%). Hypertension was present in 26.5% and 42% were obese. Pelvic adhesion was noted in 58.9% of patients. Total abdominal hysterectomy was the surgical procedure in 52% of cases. Pyrexia (32.5%), Anaemia (29.3%), Prolonged hospital stay (24.1%) and Wound infection (20.2%) were the common postoperative morbidities. Fibromyoma at the University of Ilorin Teaching Hospital follows a pattern similar to other parts of the world. It is responsible for a number of gynaecological complaints. Surgery still remains the main mode of treatment.
Aboyeji
A P
AP
University of Ilorin Teaching Hospital Maternity Wing, Ilorin, Nigeria.
Ijaiya
M A
MA
D000328:Adult; D017677:Age Distribution; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000706:statistics & numerical data; D015994:Incidence; D007889:Leiomyoma / Q000145:classification / Q000453:epidemiology* / Q000601:surgery; D008875:Middle Aged; D009549:Nigeria / Q000453:epidemiology; D010298:Parity; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies