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

Abstract

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-

Review of Gynaecological Diagnoses and Surgeries Performed at a Tertiary Health Facility in Niger-Delta of Nigeria from 2012-2017: Implications for Healthcare Planning and Budgeting

“…The commonest gynaecological diagnosis was uterine fibroid (33.7%) and this is higher than most figures reported in the Nigerian literatures of 6.4% to 13.5% [14][15][16][17][18]. This was followed by infertility (28.1%) which is higher than previous reports of 15.4% [4], 15.7% [7] and 23.9% [8], but lower than those in other studies of 32.0% [9] and 48.1% [10].…”

“…Infertility and nulliparity are also associated with increased incidence of uterine fibroids [13]. It represents 6.4% of all gynaecological admissions in Abuja [14], 6.5% in Ile-Ife [15], 9.8% in Enugu [16], 10.7% in Nnewi [17] and 13.5% in Ilorin [18]. Fasubaa et al [19] found that about a quarter of women with infertility had symptomatic uterine fibroids and this represented about 35%-40% of the overall number of women presenting as uterine fibroid in their study.…”

Robson classification of caesarean births: implications for reducing caesarean section rate in a private tertiary hospital in Nigeria

“…Babah et al reported CS rate of 51.3% from a study conducted in a public tertiary health facility in Lagos, Nigeria [ 20 ]. Other authors working in public tertiary health facilities in Nigeria have reported varying CS rates such as 21.4% in Abuja [ 21 ], and 42.4% in Bayelsa [ 22 ]. Studies have suggested that CS rates are often higher in private health facilities compared to public health facilities [ 14 , 20 ].…”

Health Seeking Behaviour of Tiv Women Living with Fibroid in Benue State, Nigeria

“…The incidence in Nigeria ranges from 17.9-26%, as against 5-11% reported in Europe and United States (Aboyeji et al, 2012). Further, uterine fibroid is responsible for 6.4% of all the gynaecological admissions and 21.35% of all major gynaecological surgeries in a tertiary teaching hospital in Nigeria (Isah, Adewole, Agida and Omonua, 2018).…”

“…Several risk factors responsible for fibroid include age, heritage, genes reproductive factors, sex hormones, obesity, lifestyle, environmental and infection (Olotu et al, 2008;McLucas, 2009;Yuan, Qiang, Shengyong, Liqiang, Guowei, Peiyu, 2013;Sparic, Mirkovic, Malvasi and Tinelli, 2015;Isah et al, 2018). In recent times, the complete absence of successful diagnosis, treatment and cure of fibroid worldwide has increased its risks among women (Khan et al, 2014).…”