Overall patients’ satisfaction has
been exemplary. Patients have been very
appreciative of the entire care delivered
at our facility.
There is no consensus in the literature
as to the proper treatment of fibroids,
but our results prove to us that our overall
approach to treatment and our philosophy
of management has given our patients the
best care considering patient expectations.
However, we conclude by saying that very
few women should be subjected to hysterectomy
as treatment for uterine fibroids, unless
she understands and concurs in hysterectomy
as her form of treatment.
Finally, because of the enigma of fibroids
and the treatment of fibroids, more information
is necessary for patients to benefit from
one of the most common benign diseases in
Results are difficult to record or document.
Reasons for this is loss of contact with
patients over a period of time. No long-term
study has been designed to motivate patients
to respond, and as a result of managed-care
plans patients gravitate to new gynecologist;
as a result information for follow up is
not a high patient priority.
But because of our total patient care
the following results have been realized:
- No blood transfusion given.
- Significant reduction in pelvic adhesions
as determined by observation during C-Sections,
second myomectomy or hysterectomy.
- Recurrence rate established at 15%;
no recurrence found in women greater than
48 years of age at the time of myomectomy.
- Many patients have become pregnant
after having had a myomectomy; also patients
with previous history of pregnancy loss
as a result of uterine fibroids have become
pregnant and delivered term babies.
- Early ambulation and return to work