DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20184476

Epidemiological, clinical and therapeutic profile of uterine fibroids at the Befelatanana University hospital centre of obstetric gynecology of Antananarivo, Madagascar

Rainibarijaona L. N. A., Randriamahavonjy R., Rakotonirina Andriamaro M., Ratsiatosika Andriamanetsiarivo T., Housni Ibrahim, Rasoanandrianina Bienvenue Solange, Hery Rakotovao Andrianampanalalinarivo

Abstract


Background: Leiomyomas or fibromyomas more commonly referred as uterine fibroids are the most common tumors of the female genital tract. They affect 20 to 25% of women in genital activity. The objective of present study is to describe the epidemiological and therapeutic profile of uterine fibroids at the UHCOBG.

Methods: Retrospective and descriptive cross-sectional study of patients with uterine fibroids hospitalized in the department of gynecology of the UHCOBG between January 2015 and December 2016.

Results: In total, 101 cases of uterine fibroids have been identified with a prevalence of 3.92%. The average age is 42.75±3.6 years old. The most affected age group varies from 35 to 45 years old. Thirty-eight-point six percent of the patients were pauciparous. The medical history of irregular menstrual cycle disorders was present in 17.8% of the cases. The symptomatology was dominated by menometrorrhagia (78.2%) and in 67.3% of the cases, patients had anemia. The majority of patients (64.4%) had poly-myomatous uterus which fibroid location was predominantly corporeal (92.1%), isthmic (21.8%), and three quarters of the mapping was interstitial. Complications were dominated by aseptic necrobiosis (7.9%) and conservative treatment in 68.3% of the cases. Laparotomy is the pillar of a surgical treatment. The duration of hospitalization was short in 77.2% of the cases, 91.1% had a good progress and no death was noticed during 2 years.

Conclusions: This is the first operative indication of all gynecological pathologies in present UHC and proves to be a real public health problem. The development of operative laparoscopy is necessary to reduce the morbidity associated with treatment.


Keywords


Fibroids, Laparotomy, Metrorrhagia

Full Text:

PDF

References


National secondary school of the gynaecologists and French obstetricians (CNGOF): Summary of Gynecology obstetrics, 2nd edition Masson, Paris; 2011: 227-228.

Wallach EE, Vlahos NF. Uterine myomas: an overview of development, clinical features and management. Obstet Gynecol. 2004;104(2):393- 406.

Fernandez H. Recommandations pour la pratique clinique. Taken care of fibroids. J Gynecol Obstet Biol Reprod. 1999;28:699-779.

Racinet C. Epidémiologie, risk factors and symptomatology of the uterine myomes. MT Med Reprod Gynecol Endocrinol. 2009;11(2):118-22.

Baird DD, Dunson DB, Hill MC, Cousins D, Schectman JM. Cumulative High impact of uterine leiomyoma in black and white women: ultrasound evidence. Am J Obstet Gynecol. 2003;188(1):100-7.

Mahbouli S, Messaoudi Y, Chandoul Y, Zayene H, Messaoudi F, Basly M, et al. Management of uterine fibromas. Report of 219 cases. La Tunisie Med. 2001;79(10):515-20.

Laghzaoui M, boukaidi S, Bouhya, Hermas S, bennani O, Aderdour M. Epidémiologie of the uterine fibromes (regarding 690 cases). Med Maroc. 2001;Fasc4:266-70.

Dia A, Beye SB, Dangou JM, Dieng M, woto Gaye CT. The uterine fibroids in private hospitals surgical of Dakar: regarding 140 cases operated in two years, Dakar. Med. 2003;48(2);72-6.

Sy T, Diallo Y, Diallo AB, Diallo FRB, Touré A, Keita N, et al. Uterine Fibromyomes: épidémio-clinical aspect and taken care surgical in the private hospital of Gynecology obstetrics Ignatius Deen of the Teaching hospital of Conakry. Annals Univ Ouagadougou. 2007;5:113-26.

Zimmermann A, Bernuit D, Gerlinger C, Schaefers M, Geppert K. Prevalence, symptoms and management of uterine fibroids: Internet international year - based survey of 21,746 women. BMC Womens Health. 2012;12:6.

Baldé, Sy T, Diallo BS, Diallo Y, Mamy MN, Diallo MH, et al. Hysterectomies to the teaching hospital of Conakry: socio démographiques and clinical characteristics, types, indications, ways first and forecast. Med Trop´ Sante. 2014;24:379-82.

Chabbert-Buffet FN, Koskas, In: Nazac. Epidemiology of the uterine fibroid in France in 2010-2012 in the establishments of health - Analysis of the data of the programme medicalized by the systems of information (PMSI). Newspaper of Gynecology Obstetrics and Biology of Reproduction. 2014;43:616-28.

Ross RK, Pike MC, Vessey MP, Bull D, Yeates D, Casagrande JT. Risk factors for uterine fibroids: reduced risk associated with oral examination contraceptive. Br Med J. 1986;293(6543):359-62.

Chen CR, Buck GM, Courey NG, Perez KM, Wactawski-Wende J. Risk factors for uterine fibroids among women undergoing tubal sterilisation. Am J Epidemiol. 2001;153(1):20-6.

Chalal N, Demmouche A. Epidemiological profile of uterine fibroids in the region of Sidi Bel Abbes, Algeria. Pan African Med J. 2013;15:7.

Lopez P, Buzelin F. Benign tumours and lesion pseudo-tumorale the uterus. EMC Paris. 1982;12:570.

Diallo MDD, Bussangu MF. Archive of the ministry of plan, national institute of statistics, Conakry, Guinea: Demographic Inquiry and of health (EdS). Guinea 2012, Callus.

Zhioua F, Ferchiou M, Mouelhi C. Contribution of the surgical hystéroscopie in the treatment of the intra-uterine myomes at the infertile patients. Med Maghreb. 1997;320:34-6.