Abstract

Objective: To examine the clinical manifestation, risk factors, surgical interventions, and associated consequences in patients who have undergone surgical treatment for uterine fibroids (UFs).
Methods: Patients (n = 132) who were clinically and radiologically diagnosed with fibroid and underwent surgical intervention were included in the study. Retrospective histopathological reports for all patients were obtained.
Results: The primary clinical manifestation of UFs was characterized by excessive menstrual bleeding (43.2%), with pressure feelings being reported in 17.4% of cases. 15.9% of the study participants experienced infertility. The affected women were within the age range of 25 to 44 years, accounting for 56.1% of the total. The prevalence of surgical procedures varies, with trans-abdominal myomectomy being the most often performed procedure (42.4). The majority of the fibroids were found in the posterior uterine wall (43.9%), with the fundus accounting for the second-highest percentage (32.6%). A substantial proportion of patients necessitated blood transfusions, with a mere 3.8% of individuals requiring more than four units. Although a significant proportion of the participants (62.9%) did not experience any complications, a subset of patients faced postoperative difficulties, such as stomach pain (12.9%) and bleeding (6.8%). The majority of women (37.9%) remained hospitalized for a duration of 6 or more days following the surgical procedure.
Conclusion: The prevalence of fibroids was higher among nulliparous women compared to multigravida women. High body mass index and the utilization of non-hormonal contraceptive methods were identified as prevalent attributes among women diagnosed with UFs.

Key words: Uterine fibroids; Clinical profile; Risk factors; Surgical management; Surgical complications