Abstract 6.  (2)3




Presentation and Management of Uterine Fibroids in Calabar, Nigeria.



E. Bassey, A. Abasiattai, E. Udoma, E. Archibong 




Two hundred and twenty nine cases of uterine fibroids admitted and managed at the University of Calabar Teaching Hospital, Calabar were studied to determine the prevalence, common clinical presentation and mode of management. Uterine fibroids accounted for 13.6% of new gynaecological admissions and 35.1% of major gynaecological surgeries. The mean age of presentation was 36.23.7 years, 66% of them were in their 3rd and 4th decades and 36.4% were nulliparous. The common presentations were infertility (62.2%), lower abdominal mass (37.8%) and menorrhagia (26.8%). The preferred treatment option was myomectomy (73.2%). There was no significant difference in postoperative morbidity among the myomectomy and hysterectomy groups (p>0.05). There was no sarcomatous change seen and the average mitotic activity index was 2.1/10 high power fields. The high rate of myomectomy in this study is justified due to the age and parity of the patients, their desire to preserved their menstrual and reproductive functions and the low risk of sarcomatous change.

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