JHSM
Journal of Health Sciences and Medicine

Journal of Health Sciences and Medicine (JHSM) is an unbiased, peer-reviewed, and open access international medical journal. The Journal publishes interesting clinical and experimental research conducted in all fields of medicine, interesting case reports, and clinical images, invited reviews, editorials, letters, comments, and related knowledge.

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Original Article
Evolution of Leiomyomas with FIGO classification regarding parity, body-mass index and admission symptoms
Abstract
Aims: To examine the outcomes of leiomyomas classified by FIGO in relation to the demographic, clinical, and laboratory characteristics of patients who underwent laparotomic myomectomy.
Methods: A total of 199 patients were found between September 2019 and September 2023 according to the criteria for study. Data were analyzed and compared in terms of FIGO leiomyoma classification, leiomyoma size, admission symptoms, body-mass index (BMI) and parity. All demographical and operational features were compared in each group for issues including leiomyomas >8 cm, <8 cm; single or multiple leiomyomas; BMI >30, <30; multiparous and nulliparous patients. Moreover, patients’ admission symptoms as abnormal uterine bleeding, pelvic pain and compression were also recorded and compared.
Results: The mean leiomyoma size, compression symptoms and pelvic pain of those with abnormal uterine bleeding was 8.5±3.2 cm, 9.6±3.1 cm, and 10.9±3.6 cm; respectively. The mean leiomyoma size of individuals with pelvic pain was significantly larger than that of those with abnormal uterine bleeding (p<0.05). Nulliparous patients exhibited a higher incidence of multiple myomas than multiparous patients. Nulliparous patients experienced a lower incidence of abnormal uterine hemorrhage than multiparous patients; however, the incidence of pelvic pain and pressure symptoms was more common (p=0.013). The mean leiomyoma size of those with BMI <30 and BMI ?30 was 9.8±3.6 cm, and 9.2±3.1 cm; respectively. No statistically significant difference was observed between these groups in terms of mean leiomyoma size, operation time, hospital stay and postoperative complications (p>0.05).
Conclusion: When evaluating laparotomic myomectomy patients, the patient’s parity status, location and size of the leiomyoma should be taken into consideration before surgery.

Keywords : Leiomyomas, parity, FIGO classification, laparotomic myomectomy

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Article available in :
Volume 8, Issue 2, 2025
Page : 319-324
https://doi.org/10.32322/jhsm.1596426
Article Information
Received : 05 Ara 2024
Accepted : 03 Mar 2025
Published : 21 Mar 2025
Corresponding Author :

Fikriye Işıl Adıgüzel: Department of Obstetrics and Gynecology, Adana City Training and Research Hospital, University of Health Science, Adana, Turkey

[email protected]
Citation : Yağmacı G, Işıl Adıgüzel F, Uysal G. Evolution of Leiomyomas with FIGO classification regarding parity, body-mass index and admission symptoms. J Health Sci Med. 2025;8(2):319-324.

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