Ectopic pregnancy at the Ignace Deen University Hospital in Conakry: Epidemiologic, social, demographic, therapeutic, and prognostic aspects

Uterine Fibroids Operated in the Obstetric Gynecology Department of the Mother-Child Department at the University Hospital of Tengandogo: About 109 Cases

“…In our African context, because of the delay in consultation, fibroids are discovered during complications such as metrorrhagia, compression of neighboring organs with its multiple consequences requiring surgery as a therapeutic alternative. Our results are similar to those obtained in most African studies such as Baldé et al [6] in 2015 in Guinea, Coulibaly et al [7] in 2015 in Mali which also found high frequencies of 42.4% and 48.88% respectively.…”

“…Our results are similar to those of Baldé et al [6] in Guinea which also reported genital bleeding as the main reason for consultation in 85.8% of cases. Our results support the literature evidence that genital bleeding is the essential telltale functional manifestation of uterine fibroids [14].…”

“…Indeed, while hysterectomy eliminates the possibility of recurrence, it is still not chosen by patients who, even in the absence of desire for pregnancy, the idea of wanting to keep one's uterus makes prefer the choice of a myomectomy. This high frequency of myomectomy practice in our series is comparable to those obtained by Baldé et al [6] in Guinea and Hamad et al in Mauritania [17] which also found a higher frequency for the practice of myomectomy with respectively 70% and 75% of cases. Laparotomy was the most commonly used route in our study (95.4%).…”

“…In Europe, Downes et al [5] found that surgery was the most commonly used treatment for fibroids. In Guinea, Baldé et al [6] showed that uterine fibroids accounted for 42.4% of uterine pathologies operated upon. Another study conducted by Coulibaly et al [7] in Mali found a higher rate of 48.88%.…”