Leiomyoma characteristics and risk of subsequent surgery after myomectomy.
Int J Gynaecol Obstet 2006;
95:138-43. [PMID:
16938298 DOI:
10.1016/j.ijgo.2006.07.009]
[Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2006] [Revised: 06/29/2006] [Accepted: 07/19/2006] [Indexed: 11/21/2022]
Abstract
OBJECTIVE
Evaluate the association between leiomyoma characteristics at myomectomy with subsequent surgery risk.
METHODS
A population-based nested case control study from a cohort of women at a large HMO, identified as having had a myomectomy was performed; 82 cases had subsequent uterine surgery; 82 controls, frequency matched for age and date of first surgery, did not. Medical records were abstracted; follow-up was 18-128months. Adjusted odds ratios (aOR) and 95% confidence intervals (CI) were calculated.
RESULTS
Women without subserosal myomas were more likely to have a second surgery as compared to women with at least one subserosal myoma, aOR=4.1(95% CI 1.5-10.9). Size of myomas did not predict subsequent surgery in subanalyses by type of surgery. Number of leiomyomas was not predictive of a subsequent uterine surgery overall or in subgroup analyses.
CONCLUSION
Myoma location, but not number or size, impacts the risk for subsequent leiomyoma uterine surgery.
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