caa a22 4500 445309024 CHVBK 20180317142622.0 cr unu---uuuuu 170323e20110201xx s 000 0 eng 10.1007/s00404-010-1355-y doi (NATIONALLICENCE)springer-10.1007/s00404-010-1355-y Uterine fibroids: risk of recurrence after myomectomy in a Nigerian population [Elektronische Daten] [Jesse Obed, Babagana Bako, Joshua Usman, Joel Moruppa, Saidu Kadas] Purpose: To determine the recurrence rate and risk factors for recurrence following myomectomy. Methods: Two hundred and thirty-two women who had open myomectomy were followed up for 3-10years. Clinical features as well as pelvic ultrasound scan were used to evaluate the patients for recurrence. Recurrence rate was computed and the risk factors for recurrence were determined using Odd ratio comparing the Sociodemographic characteristics, preoperative symptoms, surgical and pathologic findings in the two groups of patients. Results: The mean age and parity of the patients were 29.3±3.8years and 1.2±1.1, respectively. The desire for procreation after surgery was noted in 183 (78.9%) of the patients while the rest desired resolution of symptoms. More than half of the patients had multiple symptoms. Intraoperatively, 63 (7.2%) had single fibroid removed while the rest were multiple varying from 2 to 67 pieces. The overall recurrence rate during the follow-up period was 20.7% (48/232) at 10years and this increases with time. Positive family history of uterine fibroids, multiple uterine fibroids, and persistence or recurrence of three or more of the pre-myomectomy symptoms were significantly associated with the recurrence of uterine fibroids (OR=21.83, 3.14, and 3.49, respectively) while pregnancy after myomectomy and the use of oral contraceptive pills (OCP) were protective. Conclusion: There is a high recurrence of uterine fibroid after myomectomy in our environment. The risk is higher among women with positive family history, multiple uterine fibroids, and in those with multiple symptoms. Pregnancy and use of OCP are protective. Springer-Verlag, 2010 Recurrence nationallicence Uterine fibroids nationallicence Open myomectomy nationallicence Nigeria nationallicence Obed Jesse Department of Obstetrics and Gynaecology, University of Maiduguri Teaching Hospital, P.M.B 1414, Maiduguri, Nigeria aut Bako Babagana Department of Obstetrics and Gynaecology, University of Maiduguri Teaching Hospital, P.M.B 1414, Maiduguri, Nigeria aut Usman Joshua Department of Obstetrics and Gynaecology, University of Maiduguri Teaching Hospital, P.M.B 1414, Maiduguri, Nigeria aut Moruppa Joel Department of Obstetrics and Gynaecology, University of Maiduguri Teaching Hospital, P.M.B 1414, Maiduguri, Nigeria aut Kadas Saidu Department of Obstetrics and Gynaecology, University of Maiduguri Teaching Hospital, P.M.B 1414, Maiduguri, Nigeria aut Archives of Gynecology and Obstetrics Springer-Verlag 283/2(2011-02-01), 311-315 0932-0067 283:2<311 2011 283 404 https://doi.org/10.1007/s00404-010-1355-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1355-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Obed Jesse Department of Obstetrics and Gynaecology, University of Maiduguri Teaching Hospital, P.M.B 1414, Maiduguri, Nigeria aut NATIONALLICENCE 700 1- Bako Babagana Department of Obstetrics and Gynaecology, University of Maiduguri Teaching Hospital, P.M.B 1414, Maiduguri, Nigeria aut NATIONALLICENCE 700 1- Usman Joshua Department of Obstetrics and Gynaecology, University of Maiduguri Teaching Hospital, P.M.B 1414, Maiduguri, Nigeria aut NATIONALLICENCE 700 1- Moruppa Joel Department of Obstetrics and Gynaecology, University of Maiduguri Teaching Hospital, P.M.B 1414, Maiduguri, Nigeria aut NATIONALLICENCE 700 1- Kadas Saidu Department of Obstetrics and Gynaecology, University of Maiduguri Teaching Hospital, P.M.B 1414, Maiduguri, Nigeria aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283/2(2011-02-01), 311-315 0932-0067 283:2<311 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer