The benefit of myomectomy in women aged 40 years and above: Experience in an urban teaching hospital in Nigeria

• DOI: 10.4103/0300-1652.86125
• Publication Date: 2011-10-17T05:19:36Z
• Authors: Babagana Bako; JesseY Obed; Saidu Kadas; JoshuaD Usman; AbubakarA Kullima; JoelY Moruppa
• Keywords: Uterine Fibroids; Presentation (obstetrics)

Background: Abdominal myomectomy remains the mainstay of surgical management uterine fibroids in our environment. However, its benefit women aged 40 years and above debatable. Materials Methods: An 11-year prospective study was conducted involving 98 women, above, who had abdominal for treatment fibroid at University Maiduguri Teaching Hospital, Maiduguri. They were followed up regularly 1-6 to detect conception, resolution symptoms obstetrics performance. Data analyzed using SPSS version 13. Results: The mean age patients 42.6΁2.9 77 (78.6%) them nulliparous. Lower swelling commonest clinical presentation size 18.6΁8.5 weeks. Infertility with indication majority cases [48 (48.9%)], while pregnancy complications accounted 11.2% (11) Fertility restoration 10.4% among infertile patients. There complete 35.9% those required symptomatic relief, term pregnancies recorded 72.7% complications. Conclusion: Myomectomy is recommended infertility wish become pregnant. If there no need further fertility preservation, hysterectomy should be offered.