Endometriosis in Srinagarind Hospital
Abstract
Background : Endometriosis is a relatively relatively common gynecological condition. There was no report related to the prevalence and description in the northeast region of Thailand.
Objective : 1.To assess the prevalence of endometriosis in inpatient unit of Obstetric – Gynecology department of Srinagarind hospital. 2. To assess the characteristics of endometriotic patients regarding clinical manifestations, results of investigations, modalities of treatment and results.
Design : A descriptive study.
Setting : Srinagarind hospital, Khon Kaen University. Subjects : 3,626 gynecologic patients who were admitted to Srinagarind hospital from January 1 , 1991 to December 31, 1992.
Main Outcome Measures : The prudent indicators used in this study were the prevalence of endometriosis, ties and result of treatment.
Results: The prevalence of endometriosis in Srinagarind hospital during the study period was 8.6% which consisted of 3.1% endometriosis externa, 3.1% adenomyosis , 0.8% combined and 1.6% with other diseases. In the adenomyosis group, this study revealed the mean age of 43.9 years. The most common presenting symptoms were abnormal vaginal bleeding (42.9%), chronic pelvic pain (33.9%) and dysmenorrheal (21.4%). Most of the patients were treated by hysterectome. The results of therapy were good, 99.1% of patients had no symptoms and normal pelvic examination. In the endometriosis externa group, this study revealed the mean age of 32.5 years, most of patients (54.4%) were nullipara. The most common presenting symptoms were infertility (46.5%) and dysmenorrheal (44.7%). Most of the pathology were found in ovaries (52.6%) . forty two percents of the patients were treated by surgery, in which 74.2% were conservative surgery. Other patients were treated by hormonat therapy and combined hormonal – surgical therapy in 30.7% and 15.8% respectively. Most of the patients (76.3%) were lost follow up.
Conclusions : Endometriosis is a common disease in Gynecologic inpatient unit of Srinagarind hospital. The results of therapy especially in adenomyosis group was quite effective but there was a high rate of lost follow up in endometriosis externa group so the success rate of treatment could not be accurately evaluated.
