TITLE:
Uterine Fibroids Operated in the Obstetric Gynecology Department of the Mother-Child Department at the University Hospital of Tengandogo: About 109 Cases
AUTHORS:
Dieudonné Hien, Paul Kain, Noufou Sankara, Raïssom Zongo, Batababon Adjahourabou, Ali Ouedraogo
KEYWORDS:
Uterine Fibromyoma, Surgical Treatment, CHU-Tengandogo, Burkina Faso
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.13 No.2,
February
16,
2023
ABSTRACT: Background: Uterine fibroid is the most common benign gynecological tumor in women of
childbearing age and is common in our context. It can be discovered
incidentally or by metrorrhagia. Objective: To study the
epidemiological, clinical, therapeutic and prognostic aspects of uterine
fibroids operated in the gynaecology and obstetrics department of the CHU-T. Patients
and Method: This was a descriptive cross-sectional study including all
patients operated on for uterine fibromyoma in the gynaecology-obstetrics
department. The collection mode was retrospective, over a 5-year period from
January 1, 2017 to December 31, 2021 in the mother-child department of the
CHU-T. Data entry and analysis were carried out on a microcomputer using Epi
info 7.2.5 software. Results: We collected 109 cases of uterine fibroids
which represented 42.5% of the surgical activities of the gynaecology
department. The average age of the patients was 38.9 years ± 7.8. Married women
represented 77.1%. Salaried women accounted for 65.1%. The main reasons for
consultation were uterine haemorrhage (53.1%), pelvic pain (40.4%) and
hypofertility (31.2%). Ultrasound was performed in all patients to help map the
fibroid nuclei. The main indication for surgery was haemorrhagic myoma (43.1%).
The surgical treatment was conservative (myomectomy) in 58.7% of cases and
radical (hysterectomy) in 27.4% of cases. The most frequent postoperative
complication was vulvar haemorrhage and the average hospital stay was 4 days ±
1.4. Anatomical pathological examination of the surgical excision specimen
carried out on 30 operated patients concluded that uterine leiomyoma was
diagnosed in 100% of cases. Conclusion: Patient education for early
detection, universal health insurance and cost subsidies could improve the
management of this condition.