Presentation patterns and management outcomes of uterine fibroids: A retrospective study

TL;DR

This study examines the presentation patterns and surgical outcomes of uterine fibroids in 60 patients treated with myomectomy or hysterectomy.

Contribution

The study provides comparative outcomes of myomectomy and hysterectomy for uterine fibroids, focusing on symptom resolution and complication rates.

Findings

Intramural fibroids with a mean size of 8.2 cm were the most common type.

Hysterectomy resulted in higher symptom resolution (95.0%) compared to myomectomy (82.5%).

Abstract

Uterine fibroids are common benign pelvic tumors in reproductive-age women, often presenting with heavy menstrual bleeding and pelvic
pain. Therefore, it is of interest to analyze 60 patients undergoing myomectomy (66.7%) or hysterectomy (33.3%) between 2022 and 2024.
Intramural fibroids (60.0%) with a mean size of 8.2 cm were the most frequent finding. Symptom resolution at 6 months was higher after
hysterectomy (95.0%) compared to myomectomy (82.5%, p=0.048), while complication rates were similar. Surgical management provides
effective relief, with hysterectomy offering a definitive cure and myomectomy serving as a fertility-preserving option.