Uterine fibroids are benign tumors that originate from the smooth muscle layer of the uterus. While the exact causes are unknown, risk factors include heredity, race, pregnancy, and obesity. Uterine fibroids can cause menstrual abnormalities, infertility, pain, and pressure symptoms. Diagnosis involves ultrasound, biopsy, or hysteroscopy. Treatment options depend on symptoms but may include medications, uterine artery embolization, myomectomy (surgical removal of fibroids), or hysterectomy.
2. DEFINITION
• Uterine fibroid is a leiomyoma (benign (non-
cancerous) tumor from smooth muscle tissue)
that originates from the smooth muscle layer
(myometrium) of the uterus
11. • Abdominal examination
• Feel is firm more towards hard may be cystic
in cystic degeneration.
• Margins are well defined except the lower
pole.
• nodular may be uniformly enlarged
• Mobility is restricted from above downwards
but can be moved from side to side.
• Percussion : swelling is dull
12. • Pelvic examination
• Bimanual examination reveals uterus
irregularly enlarged
• Uterus is not felt separated from the swelling
and as such a groove is not felt between the
uterus and the mass.
• The cervix moves with the movement of the
tumour felt per abdomen.
13. DIAGNOSIS
• An abdominal, transvaginal or pelvic
ultrasound
• An endometrial biopsy
• A hysteroscopy
• Hysterosalpingography
• Laparoscopy
14. TREATMENT
• For symptomatic fibroids
• Medication to control symptoms
• Medication aimed at shrinking tumours
• Ultrasound fibroid destruction
• surgically aided methods to reduce blood
supply of fibroids
• Myomectomy or radio frequency ablation
• Hysterectomy
• Treatment for infection and anemia
• Embolization
19. • Leiomyosarcoma
• Twisting of the fibroid
• Anemia
• Urinary tract infections
• A c-section may be needed
• Some pregnant women with fibroids
have heavy bleeding immediately after
giving birth.
20. NURSING DIAGNOSIS
• Acute pain related to post operative wound as
manifested by facial expression and pain scale
score
• Imbalanced nutrition less than body
requirements related to pain as manifested by
decreased food intake.
21. • Impaired bowel elimination , constipation
related to decreased activity, pain on straining
• Disturbed sleep pattern related to pain and
hospitalization
• Risk for infection related to the surgery
• Low Self-Esteem related to changes in
femininity as evidenced by Withdrawal,
depression