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Leiomyoma characteristics and risk of subsequent surgery after myomectomy
Author(s) -
Thompson L.B.,
Reed S.D.,
McCrummen B.K.,
Warolin A.K.,
Newton K.M.
Publication year - 2006
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2006.07.009
Subject(s) - medicine , myoma , leiomyoma , odds ratio , uterine myomectomy , uterine leiomyoma , confidence interval , nested case control study , surgery , medical record , case control study , cohort , cohort study , obstetrics , gynecology , uterus
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 18–128 months. 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.