TITLE:
Epidemiological Profile and Location of Lesions According to #ENZIAN of Patients Operated on for Endometriosis in a Public Endoscopic Surgery Centre, Yaounde, Cameroon
AUTHORS:
Ngono Akam Marga Vanina, Adjessa Abega, Nyada Serge, Mpono Pascale, Nsahlai Christiane, Mendoua Michelle, Sharon Mbacham Ngwafor, Kasia Yves, Kasia Florence, Soppo Blandine, Belinga Etienne, Kasia Jean Marie
KEYWORDS:
Epidemiology, Clinical Manifestations, Laparoscopy, #ENZIA, Endometriosis
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.13 No.12,
December
7,
2023
ABSTRACT: Introduction: Endometriosis is a chronic disease affecting
approximately 10% of women. Our aim was to describe the epidemiological
profile, clinical presentation and location of lesions in patients operated on
for endometriosis. Methodology: We conducted an analytical cross-sectional study with
retrospective data collection over a period of 05 years from 1 January 2017 to
31 March 2022. Our study population consisted of women who had undergone
laparoscopy for endometriosis. Data analysis was performed using SPSS software
version 23.0. Results: In total we included 159 patients who had
undergone laparoscopy for endometriosis. The mean age was 32.9 ± 5.9 years,
most of whom were nuligravida 61.6% (n = 99). Infertility was the most frequent
reason for consultation, accounting for 72.3% (n = 115), followed by
dysmenorrhoea in 60.8% (n = 96) of cases and chronic pelvic pain in 37.7% (n = 60).
In addition, 46 (28.9%) patients complained of deep dyspareunia, 17 (10.7%) of
dyschezia and nine (5.7%) of dysuria. Magnetic Resonance Imaging (MRI) was used
in one patient. Diagnostic laparoscopy was performed directly in 77 (48.4%)
patients. The lesions were multifocal, according to the #ENZIAN classification
nomenclature. Tubal lesions were most frequently found 107 (67.3%) on the left,
followed by compartment B (uterosacral ligaments, cardinal ligaments and lateral
pelvic wall) 49.7% (n = 79), and endometriomas 40.9% (n = 65). Conclusion: Women
operated on for endometriosis were of a more advanced age, and predominantly nulliparous.
Infertility was the most frequent reason for
consultation and tubal location most frequently encountered for
superficial lesions and compartiment B for deep lesions according to #ENZIA.