Endometriosis in Srinagarind Hospital
Article
in English
| IMSEAR
| ID: sea-133694
ABSTRACT
Background:
Endometriosis is a relatively relatively common gynecological condition. There was no report related to the prevalence and description in the northeast region of Thailand.Objective:
1.To assess the prevalence of endometriosis in inpatient unit of Obstetric – Gynecology department of Srinagarind hospital. 2. To assess the characteristics of endometriotic patients regarding clinical manifestations, results of investigations, modalities of treatment and results.Design:
A descriptive study.Setting:
Srinagarind hospital, Khon Kaen University.Subjects:
3,626 gynecologic patients who were admitted to Srinagarind hospital from January 1 , 1991 to December 31, 1992.Main OutcomeMeasures:
The prudent indicators used in this study were the prevalence of endometriosis, ties and result of treatment.Results:
The prevalence of endometriosis in Srinagarind hospital during the study period was 8.6% which consisted of 3.1% endometriosis externa, 3.1% adenomyosis , 0.8% combined and 1.6% with other diseases. In the adenomyosis group, this study revealed the mean age of 43.9 years. The most common presenting symptoms were abnormal vaginal bleeding (42.9%), chronic pelvic pain (33.9%) and dysmenorrheal (21.4%). Most of the patients were treated by hysterectome. The results of therapy were good, 99.1% of patients had no symptoms and normal pelvic examination. In the endometriosis externa group, this study revealed the mean age of 32.5 years, most of patients (54.4%) were nullipara. The most common presenting symptoms were infertility (46.5%) and dysmenorrheal (44.7%). Most of the pathology were found in ovaries (52.6%) . forty two percents of the patients were treated by surgery, in which 74.2% were conservative surgery. Other patients were treated by hormonat therapy and combined hormonal – surgical therapy in 30.7% and 15.8% respectively. Most of the patients (76.3%) were lost follow up.Conclusions:
Endometriosis is a common disease in Gynecologic inpatient unit of Srinagarind hospital. The results of therapy especially in adenomyosis group was quite effective but there was a high rate of lost follow up in endometriosis externa group so the success rate of treatment could not be accurately evaluated.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Language:
English
Year:
2010
Type:
Article
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