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dc.contributor.authorMARASLI, MUSTAFA
dc.contributor.authorBAKAR, RABİA ZEHRA
dc.contributor.authorGöksever, Çelik
dc.contributor.authorAydın, SERDAR
dc.date.accessioned2019-10-05T23:19:48Z
dc.date.available2019-10-05T23:19:48Z
dc.date.issued2018-08-06
dc.identifier10.1016/j.mri.2003.08.032
dc.identifier.urihttps://hdl.handle.net/20.500.12645/10016
dc.description.abstractObjective: Uterine leiomyomas are the most common pelvic tumor in women. The calculated prevalence of prolapsed pedunculated leiomyoma was 2.5% in patients who underwent surgery. Although vaginal removal is safe and effective, hysterectomy demand is questionable. We aimed to analyze the association between patient characteristics, clinical features of prolapsed pedunculated submucosal leiomyoma, and the probability of successful vaginal myomectomy. Material and Methods: This study was conducted in 35 women who presented with prolapsed pedunculated uterine leiomyoma. Patients were grouped according to the treatment procedure, either vaginal myomectomy or hysterectomy. Results: Hysterectomy was performed in 14 patients and vaginal myomectomy was performed in 21 women. The mean ages and menopausal status were similar. Parity was higher in the hysterectomy group (p=0.02). The preoperative hematocrit value of patients undergoing vaginal myomectomy was significantly lower (p=0.04). There was no significant difference between the groups regarding the largest leiomyoma diameter. However, the median calculated leiomyoma volume was lower in the vaginal myomectomy group (p=0.04). None of the variables were independently associated with successful vaginal myomectomy on multivariable logistic regression analysis. Conclusion: The feasibility and choice of vaginal myomectomy is associated with low parity, absence of coexisting leiomyoma, high volume of leiomyoma estimated via ultrasound measurement, and severe anemia. (J Turk Ger Gynecol Assoc 2018; 19: 146-50) Keywords: Leiomyoma, prolapsed pedunculated submucosal leiomyoma, vaginal myomectomy, hysterectomyen
dc.language.isoen
dc.rightsinfo:eu-repo/semantics/openAccessen
dc.subjectAydın S., Göksever Ç., MARASLI M., BAKAR R. Z. , -Clinical predictors of successful vaginal myomectomy for prolapsed pedunculated uterine leiomyoma-, Journal of the Turkish German Gynecological Association, cilt.19, ss.146-150, 2018
dc.titleClinical predictors of successful vaginal myomectomy for prolapsed pedunculated uterine leiomyoma
dc.typeArticle
local.avesis.response9890
local.article.journalnameMAGNETIC RESONANCE IMAGING
dc.identifier.wosWOS:000440870500007
dc.identifier.scopus85052726145
dc.identifier.doi10.4274/jtgga.2017.0135
dc.identifier.pubmed29449196
local.publication.isinternational1


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