• African health sciences · Dec 2023

    Evaluation of the anatomical locations and sizes of uterine fibroids from ultrasound examination in Ghana.

    • Emmanuel Kobina Mesi Edzie, Klenam Dzefi-Tettey, Edmund Kwakye Brakohiapa, Philip Narteh Gorleku, Eric Aidoo, Stephen Kwaku Amoah, Samuel Asiamah, Frank Quarshie, Obed Nimo, Amrit Raj, Joshua Mensah Kpobi, Evans Boadi, Richard Ato Edzie, Veronica Turkson, Henry Kusodzi, and Abdul Raman Asemah.
    • Department of Medical Imaging, School of Medical Sciences, College of Health and Allied Sciences, University of Cape Coast, Cape Coast, Ghana.
    • Afr Health Sci. 2023 Dec 1; 23 (4): 438450438-450.

    BackgroundUterine fibroids locations and sizes, have significant influences on the quality of life of women especially pregnant women and on live birth rate.ObjectivesTo determine the anatomical locations and sizes of uterine fibroids and assess any possible associations with age groups.MethodsThis 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 statistical significance level set at p≤0.05.ResultsThe 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 years age class.ConclusionThe 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.© 2023 Edzie EKM et al.

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