Title: Incidence of AUB as a Reason of Hysterectomy: A One Year Study
Authors: Dr Barkha Gurjar, Dr Sony
DOI: https://dx.doi.org/10.18535/jmscr/v5i6.180
Abstract
Background: Abnormal uterine bleeding (AUB) is a common and debilitating condition with high direct and indirect costs. Objectives of this study are –To study incidence of AUB in all cases of elective hysterectomy & to study the various etiological factors for hysterectomy & distribution of these factors according to age.
Methods- All patients undergoing hysterectomy at Government Medical College, Kota were studied over a period of one year retrospectively in order to find out incidence of AUB as a cause of hysterectomy. Data including age and clinical indication for hysterectomy was collected for the study.
Keywords: AUB, Hysterectomy, DUB, Fibroid, Adenomyosis.
References
1. Kjerulff KH, Erickson BA, Langenberg PW. Chronic gynecological conditions reported by US wom- en: findings from the national health interview survey, 1984 to 1992. Am J Public Health. 1996;86:19.
2. Market Opinion and Research International (MORI). Women’s health in 1990. [Research study con- ducted on behalf of Parke-Davis Laboratories]. London: MORI; 1990.
3. Barnard K, Frayne SM, Skinner KM, Sullivan LM. Health status among women with menstrual symp- toms. J Womens Health (Larchmt). 2003;12:911-9.
4. Cote I, Jacobs P, Cumming D. Work loss associated with increased menstrual loss in the United States. Obstet Gynecol. 2002;100:683-7.
5. Millar W. Hysterectomy, 1981/82 to 1996/97. Health Rep. 2001;12:9-22.
6. Frick KD, Clark MA, Steinwachs DM, Langenberg P, Stovall D, Munro MG, et al. Financial and quali- ty-of-life burden of dysfunctional uterine bleeding among women agreeing to obtain surgical treatment. Womens Health Issues. 2009;19:70-8.
7. Ayesha Sarwar, Anwar ul Haque. Types and frequencies of pathologies in endometrial curettings of abnormal uterine bleeding. 2005;3(2):65-70.
8. Livingstone M, Fraser IS. Mechanisms of abnormal uterine bleeding. Hum Reprod Update 2002;8:60-7.
9. NICE. Clinical Guideline 44; Heavy menstrual bleeding 2007. National Institute for Health and Clinical Excellence (NICE); Available at: http://www.nice.org.uk/nicemedia/pdf/CG44FullGuideline.pdf.
10. Liu Z, Doan QV, Blumenthal P, Dubois RW. A Systematic Review Evaluating Health-Related Quality of Life,Work Impairment, and Health-Care Costs and Utilizationin Abnormal Uterine Bleeding. Value Health. 2007;10(3):183-94.
11. Zeeba S. Jairajpuri, S. Rama and S. Jetky. Atypical uterine bleeding: histopathological audit of endometrium. A study of 638 cases. Al Ameen J Med Sci. 2013;6(1):21-8.
12. Bhoomika Dadhania, Gauravi Dhruva, Amit Agarval, Krupal Pujara. Histopathological study of endometrium in dysfunctional uterine bleeding. Int J Res Med. 2013;2(1):20-4.
13. Sobande AA, Eskandar M, Archibong EI, Damole IO. Elective hysterectomy: A clinicopathological review from Abha catchment area of Saudi Arabia. West Afr J Med. 2005;24:31–5. [PubMed]
14. Baird DD, Dunson DB, Hill MC, Cousins D, Schectman JM. High cumulative incidence of uterine leiomyoma in black and white women: Ultrasound evidence. Am J Obstet Gynecol. 2003;188:100–7. [PubMed]
15. Adelusola KA, Ogunniyi SO. Hysterect-omies in Nigerians: Histopathological analysis of cases seen in Ile-Ife. Niger Postgrad Med J. 2001;8:37–40. [PubMed]
16. Borgfeldt C, Andolf E. Transvaginal ultrasonographic findings in the uterus and the endometrium: Low prevalence of leiomyoma in a random sample of women age 25-40 years. Acta Obstet Gynecol Scand. 2000;79:202–7. [PubMed]
17. Shergill SK, Shergill HK, Gupta M, Kaur S. Clinicopathological study of hysterectomies. J Indian Med Assoc. 2002;100:238–9, 246. [PubMed]
18. Vercellini P, Parazzini F, Oldani S, Panazza S, Bramante T, Crosignani PG. Adenomyosis at hysterectomy: A study on frequency distribution and patient characteristics. Hum Reprod. 1995;10:1160–2. [PubMed]
19. Raju GC, Naraynsingh V, Woo J, Jankey N. Adenomyosis uteri: A study of 416 cases. Aust N Z J Obstet Gynaecol. 1988;28:72–3. [PubMed]
20. Pandey D, Sehgal K, Saxena A, Hebbar S, Nambiar J, Bhat RG. An audit of indica-tions, complications, and justification of hysterectomies at a teaching hospital in India. International Journal of Reprodu-ctive Medicine. 2014;2014:Article ID 279273.
21. Yusuf NW, Nadeem R, Yusuf AW, et al. Dysfunctional uterinebleeding. A retrospe-ctive clinicopathological study over 2 years. Pak J Obstet Gynaecol. 1996;9:27–30
22. Escoffery CT, Blake GO, Sargenat LA. Histopathological findings in women with postmenopausal bleeding in Jamaica. West Indian Med J. 2002;51:232–5
23. Gerald Dafe Furae, Jonathan Umezuluike Aligbe. Histopathological patterns of endometrial lesions in patients with abnormal uterine bleeding in a cosmopolitan population. J Basic Clin Reprod Sci. 2013;2(2):101-4.
24. Sadia Khan, Sadia Hameed, Aneela Umber. Histopathlogic pattern of endometrium on diagnostic D&C in patients with abnormal uterine bleeding. 2011;17(2):166-70.