Evaluation Of The Anatomical Locations And Sizes Of Uterine Fibroids From Ultrasound Examination In Ghana
Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
African Health Sciences
Abstract
Background: Uterine fibroids locations and sizes have significant influences on the quality of life of women, especially pregnant women, and on the live birth rate.
Objectives: To determine the anatomical locations and sizes of uterine fibroids and assess any possible associations with age
groups.
Methods: This retrospective study reviewed the locations and sizes of a total of 3,542 patients who were ultrasonographically
diagnosed with uterine fibroids from January 2019 to December 2021. The obtained data were analysed using GNU PSPP, and
Python on Jupyter Notebook with a statistical significance level set at p≤0.05.
Results: The overall average diameter of uterine myoma was 5.50±2.60cm (95%CI=5.41–5.58, range=1.00cm–19.10cm)
and the respective mean diameter of intramural, subserosal and submucosal fibroids were 5.53±2.60cm (95%CI=5.44–5.62),
5.50±2.27cm (95%CI=5.27–5.74) and 5.82±2.77cm (95%CI=5.49–6.14). Most of the fibroid nodules were small (48.36%,
n = 1713), and only 5.84% (n = 207) were large (>10cm). Posterofundal fibroids and lower anterior myomas were mostly seen in
the 35-44-year-old age class.
Conclusion: The majority of the uterine fibroids were intramural and were mostly at the anterior uterine wall. The submucosal
fibroids, even though the rarest, were averagely larger than the other types of uterine myomas. The diameter of uterine fibroids
increased with age.
Description
Research Article
Keywords
Uterine fibroids, Anatomical locations, Ultrasound imaging