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Clinical predictors of successful vaginal myomectomy for prolapsed pedunculated uterine leiomyoma

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dc.contributor.authorAydın, SERDAR
dc.contributor.authorGöksever, Çelik
dc.contributor.authorMARASLI, MUSTAFA
dc.contributor.authorBAKAR, RABİA ZEHRA
dc.contributor.institutionauthorAYDIN, SERDAR
dc.contributor.institutionauthorMARAŞLI, MUSTAFA
dc.contributor.institutionauthorBAKAR, RABIA ZEHRA
dc.date.accessioned2019-10-05T23:19:48Z
dc.date.available2019-10-05T23:19:48Z
dc.date.issued2018-08-06
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.identifier10.1016/j.mri.2003.08.032
dc.identifier.citationAydın 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.identifier.doi10.4274/jtgga.2017.0135
dc.identifier.pubmed29449196
dc.identifier.scopus85052726145
dc.identifier.trdizinDOI: https://doi.org/10.4274/jtgga.2017.0135
dc.identifier.trdizintrdizin
dc.identifier.urihttps://hdl.handle.net/20.500.12645/10016
dc.identifier.wosWOS:000440870500007
dc.language.isoen
dc.rightsinfo:eu-repo/semantics/openAccessen
dc.titleClinical predictors of successful vaginal myomectomy for prolapsed pedunculated uterine leiomyoma
dc.typeArticle
dspace.entity.typePublication
local.article.journalnameMAGNETIC RESONANCE IMAGING
local.avesis.idfa35c544-ed34-4bb5-8adc-4f51d4071616
local.avesis.response9890
local.publication.isinternational1
relation.isAuthorOfPublicationb373a82e-047e-4e7b-b238-29e3fc44e124
relation.isAuthorOfPublication0ee7e264-5020-482e-99f7-3b75b6f8e5b8
relation.isAuthorOfPublicationb2b5833c-3d76-41ab-858d-086cbe05cbed
relation.isAuthorOfPublication.latestForDiscoveryb2b5833c-3d76-41ab-858d-086cbe05cbed
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